Lifecare Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

131006 Issued in MI

Legal business name

LIFECARE AMBULANCE

Practice address

330 Hamblin Ave W
Battle Creek, MI 49015-2230

Phone

(269) 969-8844

Fax

(269) 969-6096

NPI assigned

Aug 29, 2006

Last updated

Jun 16, 2018By 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. Ronald Slagell

Title

Chief Executive Officer

Phone

(269) 969-8844

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1457469462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 HAMBLIN AVE W",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490378430",
            "telephone_number": "269-969-8844",
            "fax_number": "269-969-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 HAMBLIN AVE W",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490152230",
            "telephone_number": "269-969-8844",
            "fax_number": "269-969-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SLAGELL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "269-969-8844",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "131006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "590A300220",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183005468",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Land Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.