Provider Demographics
NPI:1861540528
Name:BELDING AREA AMBULANCE SERVICE
Entity type:Organization
Organization Name:BELDING AREA AMBULANCE SERVICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEPUTY CHIEF EMS OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:616-794-1900
Mailing Address - Street 1:120 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:BELDING
Mailing Address - State:MI
Mailing Address - Zip Code:48809-1644
Mailing Address - Country:US
Mailing Address - Phone:616-794-1900
Mailing Address - Fax:616-794-4805
Practice Address - Street 1:120 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:BELDING
Practice Address - State:MI
Practice Address - Zip Code:48809-1644
Practice Address - Country:US
Practice Address - Phone:616-794-1900
Practice Address - Fax:616-794-4805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3410013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3000022Medicaid
MI0C40008Medicare ID - Type UnspecifiedMEDICARE