Organization Active NPI

Richmond Lenox EMS Ambulance Authority

  • Ambulance
  • Richmond, MI
National Provider Identifier
1629016274
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Mar 20, 2008

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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).

National Provider Directory

National Provider Directory
Tax ID family
Richmond Lenox EMS Ambu2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.