Patriot Ambulance Service, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

251040 Issued in MI

Legal business name

PATRIOT AMBULANCE SERVICE, INC.

Practice address

4225 Miller Road
#233
Flint, MI 48507

Phone

(810) 742-5391

Fax

(810) 742-5366

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeff Yorke

Title

President

Phone

(810) 742-5391

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Patriot Ambulance Service Doing business as

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1215020441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 MILLER ROAD",
            "address_2": "#233",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-742-5391",
            "fax_number": "810-742-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 MILLER ROAD",
            "address_2": "#233",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-742-5391",
            "fax_number": "810-742-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "YORKE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-742-5391",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "251040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4600594",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "590B512330",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MI",
            "identifier": "0997666",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patriot Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Patlewicz
• Patricia Campbell
• Doris Evelyn Patrick, LMSW
• Sarah Patrick
• Tanya Patrick
• Michelle Pattan
• Amy S. Patterson, MNT
• Carmen Patterson
• Elizabeth Clare Patterson, MD
• Raina Patterson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.