Provider Demographics
NPI:1891742243
Name:SWARTZ AMBULANCE SERVICE INC
Entity type:Organization
Organization Name:SWARTZ AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:C
Authorized Official - Last Name:SWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-239-6109
Mailing Address - Street 1:1225 W HILL RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-4735
Mailing Address - Country:US
Mailing Address - Phone:810-239-6109
Mailing Address - Fax:810-239-1787
Practice Address - Street 1:1225 W HILL RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-4735
Practice Address - Country:US
Practice Address - Phone:810-239-6109
Practice Address - Fax:810-239-1787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251007341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0B50039OtherBCBS OF MICHIGAN
MI3004178Medicaid
MI0B50039Medicare ID - Type Unspecified