Organization Active NPI

Community Emergency Medical Service Inc

  • Land Ambulance
  • Southfield, MI
National Provider Identifier
1649212101
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COMMUNITY EMERGENCY MEDICAL SERVICE INC
Practice address
25400 W 8 Mile Rd
Southfield, MI 48034-3866
Phone
(248) 356-3900
Fax
(248) 356-3994
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Nancy Susick
Title
Evp & Coo
Phone
(947) 522-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X MI Primary

Addresses

Primary practice location

25400 W 8 Mile Rd
Southfield, MI 48034-3866

Mailing address

26901 Beaumont Blvd.
Compliance
Southfield, MI 48033-4716
Phone (947) 522-1963

Other identifiers 1

IdentifierTypeStateIssuer
3005341MedicaidMI

Other names 1

  • Community EMS Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct.direct@beaumont.edu

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

16211 Collections Ctr D
Chicago, IL 60693

2806 Fisher Ave
Commerce Township, MI 48390
Phone (248) 624-0993

25400 W 8 Mile Rd
Southfield, MI 48033
Phone (248) 356-3900

122 W Washington St
Ashland, OH 44805
Phone (419) 207-0323

6635 Centerville Business Pkwy
Dayton, OH 45459
Phone (937) 640-3008

1219 Findlay St
Portsmouth, OH 45662
Phone (740) 353-6699

40 Mickey Rd
Shelby, OH 44875
Phone (419) 342-3400

3222 Hill Ave
Toledo, OH 43607
Phone (419) 531-2276

4778 Dues Dr
West Chester, OH 45246
Phone (513) 330-5469

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1649212101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD.",
            "address_2": "COMPLIANCE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480334716",
            "telephone_number": "947-522-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25400 W 8 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480343866",
            "telephone_number": "248-356-3900",
            "fax_number": "248-356-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY EMERGENCY MEDICAL SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "SUSICK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "EVP & COO",
        "authorized_official_telephone_number": "947-522-3338"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3005341",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct.direct@beaumont.edu",
            "affiliation": "N",
            "address_1": "25400 W 8 Mile Rd",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480343866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Community EMS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Community EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.