National Provider Identifier Database

JACKSON COMMUNITY AMBULANCE INC
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

JACKSON COMMUNITY AMBULANCE INC.
1200 STATE CIR
ANN ARBOR, MI48108-1691
Phone: 734-971-4733
Fax: 734-477-6786
Website:
Specialty Taxonomy Code
* Ambulance 341600000X

* Indicates primary specialty

NPI Profile & details for JACKSON COMMUNITY AMBULANCE INC.

NPI Number 1871521542
Legal business name
LBN
JACKSON COMMUNITY AMBULANCE INC.
Authorized official DALE BERRY - (PRESIDENT/CEO)
Entity Organization
Organization subpart No
Enumeration date 06/29/2006
Last updated 02/02/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 381013
  • MI Medicaid: 183319100
  • MI Other: 590H10003 BLUE CROSS BLUE SHIELD

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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