United Rescue Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

181002 Issued in MI

Legal business name

UNITED RESCUE SERVICE

Doing business as

United Rescue Service

Practice address

229 W Beech St
Harrison, MI 48625

Phone

(989) 539-6331

NPI assigned

Jun 20, 2006

Last updated

Dec 14, 2011By 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

Mr. Larry Keith Reed

Title

Director

Phone

(989) 539-6331

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• United Rescue Service Doing business as

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1316982465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "address_2": "229 E BEECH",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "48625",
            "telephone_number": "989-539-6331",
            "fax_number": "989-539-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 W BEECH ST",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "48625",
            "telephone_number": "989-539-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED RESCUE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "989-539-6331",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "181002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3003300",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590058481",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "590A800030",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Rescue Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Mae Thompson
• Elizabeth M Tratar
• Betsy Michelle Ulicki, LLMSW
• Lois Umphrey
• United Rescue Ambulance Authority
• Phani Deepthi Vadlamudi, M.D.
• Deana Vanbuskirk, LMSW
• Melisa Catherine Wagner
• Jamie Walderzak
• Shane William Walker, LLCMSW

• Land Ambulance in Harrison, MI
• Providers in Harrison, 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 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.