SOUTH HAVEN AREA EMERGENCY SERVICES AUTHORITY NPI 1023058542

NPI Information

NPI: 1023058542
Provider Name: SOUTH HAVEN AREA EMERGENCY SERVICES AUTHORITY
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
90 BLUE STAR HWY
SOUTH HAVEN, MI
ZIP 49090
Phone: (269) 637-5151
Get Directions

SOUTH HAVEN AREA EMERGENCY SERVICES AUTHORITY is a land transport ambulance in South Haven, MI. SOUTH HAVEN AREA EMERGENCY SERVICES AUTHORITY NPI is 1023058542. The provider is registered as an organization entity type.

The provider's business location address is:

90 BLUE STAR HWY
SOUTH HAVEN, MI
ZIP 49090-683
Phone: (269) 637-5151
Fax: (269) 637-9346

The provider's authorized official is Brandon Hinz .
The authorized official title is Executive Director/fire Chief and has the following contact phone number (269) 639-1496.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 12/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	801006	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	590012741	OTHER	MICHIGAN	RAIL ROAD MEDICARE
2	184434063	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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