Active NPI
Richmond Lenox EMS Ambulance Authority
- Ambulance
- Richmond, MI
National Provider Identifier
1629016274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- RICHMOND LENOX EMS AMBULANCE AUTHORITY
- Practice address
- 34505 32 Mile Rd
Richmond, MI 48062-1557 - Phone
- (586) 727-2184
- Fax
- (586) 727-5050
- NPI assigned
- Jun 4, 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 Ralph White
- Title
- Ceo/President
- Phone
- (586) 727-2184
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
34505 32 Mile Rd
Richmond, MI 48062-1557
Mailing address
34505 32 Mile Rd
Richmond, MI 48062-1557
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 |
|---|---|---|---|---|
| O20080430000650 | MI | Part B Supplier - Ambulance Service Supplier | 4385723485 | Practice locations: Lenox, MI; Richmond, MI; Riley, MI |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Public Health or Welfare Agency
- Richmond, MI
- NPI 1295824068
4385723485
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.
-
- Public Health or Welfare Agency
- Richmond, MI
- NPI 1295824068
Locations
34505 32 Mile Rd
Richmond, MI 48062
Phone (586) 727-2184
34505 32 Mile Rd
#1
Richmond, MI 48062
Phone (586) 727-2184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205971200000",
"number": "1629016274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34505 32 MILE RD",
"city": "RICHMOND",
"state": "MI",
"postal_code": "480621557",
"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 RD",
"city": "RICHMOND",
"state": "MI",
"postal_code": "480621557",
"telephone_number": "586-727-2184",
"fax_number": "586-727-5050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHMOND LENOX EMS AMBULANCE AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2008-03-20",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "JEFFERY",
"authorized_official_middle_name": "RALPH",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "586-727-2184"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"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.