Provider Demographics
NPI:1124288105
Name:EATON RAPIDS AREA FIRE/EMS SERVICES,INC
Entity type:Organization
Organization Name:EATON RAPIDS AREA FIRE/EMS SERVICES,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEWAELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-663-5660
Mailing Address - Street 1:1701 LAKE LANSING RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-3798
Mailing Address - Country:US
Mailing Address - Phone:517-485-0001
Mailing Address - Fax:517-485-1138
Practice Address - Street 1:2577 S MICHIGAN RD
Practice Address - Street 2:
Practice Address - City:EATON RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:48827-9246
Practice Address - Country:US
Practice Address - Phone:517-663-5660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport