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SOUTHWESTERN MICHIGAN COMMUNITY AMBULANCE SERVICE NPI 1780688721


NPI Information

NPI: 1780688721
Provider Name: SOUTHWESTERN MICHIGAN COMMUNITY AMBULANCE SERVICE
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 23D0964074

Address:
2100 W CHICAGO RD
NILES, MI
ZIP 49120
Phone: (269) 684-2170
Get Directions

SOUTHWESTERN MICHIGAN COMMUNITY AMBULANCE SERVICE is an ambulance in Niles, MI. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). SOUTHWESTERN MICHIGAN COMMUNITY AMBULANCE SERVICE NPI is 1780688721. The provider is registered as an organization entity type.

The provider's business location address is:

2100 W CHICAGO RD
NILES, MI
ZIP 49120-701
Phone: (269) 684-2170
Fax: (269) 684-2152

The provider's authorized official is James Brian Scribner .
The authorized official title is Executive Director and has the following contact phone number (269) 684-2170.

The CLIA number assigned to this NPI record is 23D0964074 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/8/2005 and was last updated on 3/20/2017.


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
1343900000XNon-emergency Medical Transport (VAN)No
2341600000XAmbulance111009MICHIGANYes

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
10A10023MEDICARE PINMICHIGAN
2590A10023OTHERBLUE CROSS
33003946MEDICAIDMICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.