Corunna Area Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

088344 Issued in MI

Legal business name

CORUNNA AREA AMBULANCE SERVICE INC

Practice address

610 N Shiawassee St
Corunna, MI 48817-1040

Phone

(989) 743-3050

NPI assigned

Sep 25, 2007

Organization subpart

No

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

Authorized official

Name

Brian W Matthies, CCEMT-P I/C

Title

Operations Manager

Phone

(989) 743-3050

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": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1104013077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632964",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N SHIAWASSEE ST",
            "city": "CORUNNA",
            "state": "MI",
            "postal_code": "488171040",
            "telephone_number": "989-743-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORUNNA AREA AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "MATTHIES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "989-743-3050",
        "authorized_official_credential": "CCEMT-P I/C"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "088344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3003839",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHPMM",
            "identifier": "200000008550",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590045289",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "590G800160",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Care N Assist of Corunna LLC
• CCS-Mi
• Jonathan R. Chapdelaine
• Lori Jo Collins, ATYPICAL PROVIDER
• Payton Compton
• Corunna Chiropractic Centre, P.C.
• County of Shiawassee
• Tamara Espich
• Kelley Lynn Gauthier
• George C Simpson

• Land Ambulance in Corunna, MI
• Providers in Corunna, 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 15, 2022; 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.