Organization Active NPI

Kingsley Area Emergency Ambulance Service Incorporated

  • Land Ambulance
  • Kingsley, MI
National Provider Identifier
1619929858
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
281006 Issued in MI
Legal business name
KINGSLEY AREA EMERGENCY AMBULANCE SERVICE INCORPORATED
Practice address
2266 E M 113
Kingsley, MI 49649-9370
Phone
(231) 263-4421
Fax
(231) 263-4422
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Authorized official

Name
Mrs. Melissa Ann Hulett
Title
Secretarytreasurer
Phone
(231) 263-4421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 281006 MI Primary

Addresses

Primary practice location

2266 E M 113
Kingsley, MI 49649-9370

Mailing address

2266 E M 113
Kingsley, MI 49649-9370
Phone (231) 263-4421

Other identifiers 2

IdentifierTypeStateIssuer
590B800090OtherMIBCBSM
183035888MedicaidMI

National Provider Directory

National Provider Directory

Locations

2266 E M 113
Kingsley, MI 49649
Phone (231) 263-4421

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1619929858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 E M 113",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499370",
            "telephone_number": "231-263-4421",
            "fax_number": "231-263-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 E M 113",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499370",
            "telephone_number": "231-263-4421",
            "fax_number": "231-263-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLEY AREA EMERGENCY AMBULANCE SERVICE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "HULETT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SECRETARYTREASURER",
        "authorized_official_telephone_number": "231-263-4421",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "281006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "590B800090",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183035888",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.