Grand Ledge Area Emergency Services

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

231021 Issued in MI

Legal business name

GRAND LEDGE AREA EMERGENCY SERVICES

Practice address

500 N Clinton St
Grand Ledge, MI 48837-1620

Phone

(517) 627-1157

Fax

(517) 627-0417

NPI assigned

Jun 18, 2006

Last updated

Feb 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kurt Hinds

Title

EMS Director

Phone

(517) 627-1157

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1013952795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2869 JOLLY RD",
            "address_2": "SUITE B",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643670",
            "telephone_number": "517-908-3980",
            "fax_number": "517-908-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CLINTON ST",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371620",
            "telephone_number": "517-627-1157",
            "fax_number": "517-627-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND LEDGE AREA EMERGENCY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "HINDS",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "517-627-1157"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "231021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "200000003600",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184720743",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "590B310590",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00218393",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn D Gazall, DO
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• Dan Yaw Gordon, PHARMACIST
• Grand Ledge Dental Center
• Grand Ledge Family Dentistry, PLLC (Kyle A. Mulder, DDS)
• Lauren Victoria Greene, M.D
• Katherine McGarvey Gute, MSW, LCSW, ACSW
• Julie Ann Haan, OTR/L, CLT

• Land Ambulance in Grand Ledge, MI
• Providers in Grand Ledge, MI by specialty
• Land Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.