Life EMS of Ionia Co Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

621008 Issued in MI

Legal business name

LIFE EMS OF IONIA CO INC

Practice address

350 W Washington St
Ionia, MI 48846-1543

Phone

(616) 527-9125

NPI assigned

May 30, 2006

Organization subpart

Yes

Parent organization

LIFE EMS, INCAs reported in NPPES

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

Authorized official

Name

Mr. Mark D Meijer

Title

President/Owner

Phone

(616) 242-8805

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Part of

Life Emergency Med Services

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Life EMS Inc

  • Land Ambulance
  • Grand Rapids, MI
  • NPI 1689621047
  NPPES parent name

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1366499527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 CEDAR ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031378",
            "telephone_number": "616-458-0042",
            "fax_number": "616-242-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W WASHINGTON ST",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488461543",
            "telephone_number": "616-527-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE EMS OF IONIA CO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE EMS, INC",
        "enumeration_date": "2006-05-30",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "MEIJER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "616-242-8805",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "621008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3204560",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Leichty, NP
• Dana Joelle Lepien, MS, CCC/SLP
• Ashton Phoenix Lewandowski
• Chasity Marie Lewis, RN
• Michaela Lewis
• Martha L Lind, LMSW ACSW CAAC
• Long Term Pharmaceutical Solutions Inc
• Shannon Lopez, DNP, FNP-C
• Olivia Pearl Lower
• Olivia Lowry

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.