Lansing Mercy Ambulance Service, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

331004 Issued in MI

Legal business name

LANSING MERCY AMBULANCE SERVICE, INC.

Practice address

1422 E Michigan Ave
Lansing, MI 48912-2107

Phone

(517) 482-1983

NPI assigned

Jun 10, 2006

Last updated

Dec 21, 2009By 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

Dennis G Palmer

Title

C.F.O.

Phone

(517) 482-1983

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1053352856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122107",
            "telephone_number": "517-482-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122107",
            "telephone_number": "517-482-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANSING MERCY AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "517-482-1983"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "331004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, BCBS FED, BCN",
            "identifier": "590C30019",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004501510",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001843",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lansing Internal Medicine Associates, PC
• Lansing Mdvip
• Lansing Medical P.L.L.C (Lansing Medical)
• Lansing Medical P.L.L.C (Lansing MedicaL)
• Lansing Medical Supplies
• Lansing Opco, LLC (Medilodge of Lansing)
• Lansing Ophthalmology, PC (LO Eye Care)
• Lansing Orthopedic PC
• Lansing Pain and Rehab PLLC
• Lansing Pain and Rehabilitation PLLC

• Land Ambulance in Lansing, MI
• Providers in Lansing, 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 21, 2009; 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.