Active NPI
Richmond Lenox EMS Ambulance Authority
- Public Health or Welfare Agency
- Richmond, MI
National Provider Identifier
1295824068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 501020
- Legal business name
- RICHMOND LENOX EMS AMBULANCE AUTHORITY
- Practice address
- 34505 32 Mile Road
Richmond, MI 48062 - Phone
- (586) 727-2184
- Fax
- (586) 727-5050
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffery R. White
- Title
- Director/Ceo
- Phone
- (586) 727-2184
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 501020 | MI | Primary |
Addresses
Primary practice location
34505 32 Mile Road
Richmond, MI 48062
Mailing address
34505 32 Mile Road
Richmond, MI 48062
Phone (586) 727-2184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080430000706 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 4385723485 | Practice locations: Richmond, MI |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Richmond Lenox EMS Ambu
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Richmond, MI
- NPI 1629016274
Locations
34950 School Section Rd
#2
Richmond, MI 48062
Phone (586) 727-2184
609 Burnell Rd
#4
Riley, MI 48041
Phone (586) 727-2184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205971200000",
"number": "1295824068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34505 32 MILE ROAD",
"city": "RICHMOND",
"state": "MI",
"postal_code": "48062",
"telephone_number": "586-727-2184",
"fax_number": "586-727-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34505 32 MILE ROAD",
"city": "RICHMOND",
"state": "MI",
"postal_code": "48062",
"telephone_number": "586-727-2184",
"fax_number": "586-727-5050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHMOND LENOX EMS AMBULANCE AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2008-03-20",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "JEFFERY",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "DIRECTOR/CEO",
"authorized_official_telephone_number": "586-727-2184"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "MI",
"license": "501020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.