National Provider Identifier Database

SOUTHWESTERN MICHIGAN COMMUNITY AMBULANCE SERVICE
Ambulance

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).


Contact Information

SOUTHWESTERN MICHIGAN COMMUNITY AMBULANCE SERVICE
2100 W CHICAGO RD
NILES, MI49120-8701
Phone: 269-684-2170
Fax: 269-684-2152
Website:
Specialty Taxonomy Code
* Ambulance 341600000X
Non-emergency Medical Transport (VAN) 343900000X

* Indicates primary specialty

NPI Profile & details for SOUTHWESTERN MICHIGAN COMMUNITY AMBULANCE SERVICE

NPI Number 1780688721
Legal business name
LBN
SOUTHWESTERN MICHIGAN COMMUNITY AMBULANCE SERVICE
Authorized official JAMES SCRIBNER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/08/2005
Last updated 03/20/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 111009
  • MI Medicaid: 3003946
  • Other: 590A10023 BLUE CROSS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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