Deerfield Ambulance

LBN: Boanerges
Deerfield Ambulance is an health care organization with primary practice located at 320 S State Rd , Davison MI 48423-1510. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Boanerges can be contacted via phone (810) 658-3865, or through Newson, James via phone (810) 658-3865.

Contact Information

Primary practice address
320 S State Rd Davison MI 48423-1510
Phone: (810) 658-3865
Fax: (810) 658-3865
Website:
Map and Directions
Authorized official contact:
Name: Newson, James
Phone: (810) 658-3865

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 089034 Michigan

Profile Details

NPI number 1841280328
LBN Legal business name Boanerges
DBA Doing business as Deerfield Ambulance
Authorized official Newson, James
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841280328 NPPES
Michigan MEDICAID 4115526
Michigan Other 590D40002

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