Organization · Type 2 NPI
Integrated First Response-Great Lakes
Land Ambulance · Iron Mountain, MI
NPI number
1083044762
Active
Practice location
719 River Avenue
Iron Mountain, MI 49801
Fax (605) 582-8983
Mailing address
PO Box 1137
Herndon, VA 20172-1137
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Land Ambulance Primary | 3416L0300X | 221010 (MI) |
Land Ambulance: Definition to come...
About NPI 1083044762
Integrated First Response-Great Lakes's National Provider Identifier is 1083044762, issued on Nov 18, 2013. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Iron Mountain, MI. The record was last updated on Nov 18, 2013.