NPIMap

Organization Active NPI

Beaumont Medical Transportation Services, Inc

  • Land Ambulance
  • Southfield, MI
National Provider Identifier
1003092560
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
631081 Issued in MI
Legal business name
BEAUMONT MEDICAL TRANSPORTATION SERVICES, INC
Practice address
25400 W 8 Mile Rd
Southfield, MI 48033-3866
Phone
(248) 356-3900
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nancy Susick
Title
Evp & Coo
Phone
(947) 522-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 631081 MI Primary

Addresses

Primary practice location

25400 W 8 Mile Rd
Southfield, MI 48033-3866

Mailing address

26901 Beaumont Blvd.
Compliance
Southfield, MI 48033-4617
Phone (947) 522-1963

Other names 1

  • Beaumont Mobile Medicine Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct.direct@beaumont.edu

National Provider Directory

National Provider Directory

Locations

950 W Maple Rd
Ste C
Troy, MI 48084
Phone (248) 269-0307

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1003092560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD.",
            "address_2": "COMPLIANCE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480334617",
            "telephone_number": "947-522-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25400 W 8 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333866",
            "telephone_number": "248-356-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT MEDICAL TRANSPORTATION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "SUSICK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "EVP & COO",
        "authorized_official_telephone_number": "947-522-3338"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "631081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct.direct@beaumont.edu",
            "affiliation": "N",
            "address_1": "25400 W 8 Mile Rd",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480333866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Beaumont Mobile Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beaumont Mobile Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.