Organization Active NPI

Wayland Area Emergency Medical Services

  • Ambulance
  • Wayland, MI
National Provider Identifier
1063639250
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
031004 Issued in MI
Legal business name
WAYLAND AREA EMERGENCY MEDICAL SERVICES
Practice address
911 S Main St
Wayland, MI 49348-1324
Phone
(269) 792-2958
NPI assigned
Apr 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert W Hess
Title
General Manager
Phone
(269) 792-2958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 031004 MI Primary

Addresses

Primary practice location

911 S Main St
Wayland, MI 49348-1324

Mailing address

911 S Main St
Wayland, MI 49348-1324
Phone (269) 792-2958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120412000761 MI Part B Supplier - Ambulance Service Supplier 0345401634 Practice locations: Wayland, MI; Dorr, MI; Shelbyville, MI; Burnips, MI; Martin, MI

National Provider Directory

National Provider Directory
Tax ID family
Wayland Area Emergency2 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.

Locations

4196 18th St
Dorr, MI 49323
Phone (269) 792-2958

911 S Main St
Wayland, MI 49348
Phone (269) 792-2958

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063639250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 S MAIN ST",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493481324",
            "telephone_number": "269-792-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S MAIN ST",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493481324",
            "telephone_number": "269-792-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYLAND AREA EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "269-792-2958"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "031004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.