Laingsburg Sciota Woodhull Emergency Services Authority

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LAINGSBURG SCIOTA WOODHULL EMERGENCY SERVICES AUTHORITY

Practice address

7425 Woodbury Rd
Laingsburg, MI 48848-9759

Phone

(517) 651-2638

Fax

(517) 651-6292

NPI assigned

Jul 10, 2006

Last updated

Jan 10, 2023By 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

Daniel J Dekorte

Title

Police Chief/Fire Captain

Phone

(517) 651-5355

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LSW EMERGENCY SERVICES AUTHORITY Other name

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

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1154355147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 WOODBURY RD",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488489759",
            "telephone_number": "517-651-2638",
            "fax_number": "517-651-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 WOODBURY RD",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488489759",
            "telephone_number": "517-651-2638",
            "fax_number": "517-651-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAINGSBURG SCIOTA WOODHULL EMERGENCY SERVICES AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "DEKORTE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "POLICE CHIEF/FIRE CAPTAIN",
        "authorized_official_telephone_number": "517-651-5355"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "781009",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM NUMBER",
            "identifier": "590G200030",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4453087",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LSW EMERGENCY SERVICES AUTHORITY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "LSW EMERGENCY SERVICES AUTHORITY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Land Ambulance in Laingsburg, MI
• Providers in Laingsburg, MI by specialty
• Land Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.