Village of Buckley
Organization Active NPI Land Ambulance · Buckley, MI
NPI 1104905181 · NPPES record last updated Jun 17, 2008
Key facts
- NPI
- 1104905181
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 831005 (MI)
- Legal business name
- VILLAGE OF BUCKLEY
- Practice address
- 106 Industrial Dr
Buckley, MI 49620-0113 - Phone
- (231) 269-3702
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. David Duff, DC
- Title
- Director
- Phone
- (231) 269-3702
National Provider Directory
Locations
106 S Industrial Dr
Buckley, MI 49620
Phone (231) 269-3702
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 831005 | MI | Yes |
Addresses
Primary practice location
106 Industrial Dr
Buckley, MI 49620-0113
Mailing address
106 Industrial Dr
Buckley, MI 49620-0113
Phone (231) 269-3702
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4856699 | Medicaid | MI | |
| 590H310390 | Other | MI | BLUE CROS BLUE SHIELD |
Other names
- BUCKELY RESCUE
Other providers in Buckley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.