MARCELLUS AREA EMERGENCY SERVICES ASSOCIATION NPI 1851343297

NPI Information

NPI: 1851343297
Provider Name: MARCELLUS AREA EMERGENCY SERVICES ASSOCIATION
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 23D1046565

Address:
177 E MAIN ST
MARCELLUS, MI
ZIP 49067
Phone: (269) 646-9900
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MARCELLUS AREA EMERGENCY SERVICES ASSOCIATION is a land transport ambulance in Marcellus, MI. MARCELLUS AREA EMERGENCY SERVICES ASSOCIATION NPI is 1851343297. The provider is registered as an organization entity type.

The provider's business location address is:

177 E MAIN ST
MARCELLUS, MI
ZIP 49067-523
Phone: (269) 646-9900
Fax: (269) 646-8052

The provider's authorized official is Robert Olsen .
The authorized official title is Ambulance Director and has the following contact phone number (269) 646-9900.

The CLIA number assigned to this NPI record is 23D1046565 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 2/3/2010.

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	141004	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	0A40012	MEDICARE PIN	MICHIGAN
2	3116476	MEDICAID	MICHIGAN
3	590009181	OTHER	MICHIGAN	RR MEDICARE

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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