Clinton Area Ambulance Service Authority

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

191001 Issued in MI

Legal business name

CLINTON AREA AMBULANCE SERVICE AUTHORITY

Practice address

1001 S Oakland St
Saint Johns, MI 48879-2305

Phone

(517) 227-5713

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Lynn Charles Weber, EMTP IC

Title

Director

Phone

(989) 227-5713

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Tax ID family

Clinton Area Ambulance Service Authority2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clinton Area Ambulance Service Authority

  • Land Ambulance
  • Saint Johns, MI
  • NPI 1437424066
  NPD tax ID

Locations

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1023046695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488790203",
            "telephone_number": "892-275-7139",
            "fax_number": "989-224-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S OAKLAND ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792305",
            "telephone_number": "517-227-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON AREA AMBULANCE SERVICE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "989-227-5713",
        "authorized_official_credential": "EMTP IC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "191001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4737624",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00218396",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "590A910200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHPMM",
            "identifier": "200000000500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark A Caswell, MS, LLPC
• CCS/Lansing, Inc
• Central Michigan Osteoporosis Treatment Center, PLC
• Kimberlee Chesney, D.O.
• Denise Clark, OTR/L
• Clinton Area Ambulance Service Authority
• Clinton Area Care Center, Inc
• Clinton County Family Resource Center
• Clinton County Medical Center PC
• Clinton County Medical Center Psychological Services PLLC

• Land Ambulance in Saint Johns, MI
• Providers in Saint Johns, MI by specialty
• Land Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.