Organization Active NPI

Huron Valley Ambulance Inc

  • Ambulance
  • Ann Arbor, MI
National Provider Identifier
1689600975
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
811006 Issued in MI
Legal business name
HURON VALLEY AMBULANCE INC
Practice address
1200 State Cir
Ann Arbor, MI 48108-1691
Phone
(734) 971-4733
Fax
(734) 477-6786
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Authorized official

Name
Mr. Ronald Slagell
Title
President Ceo
Phone
(734) 477-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 811006 MI Primary

Addresses

Primary practice location

1200 State Cir
Ann Arbor, MI 48108-1691

Mailing address

1200 State Cir
Ann Arbor, MI 48108-1691
Phone (734) 971-4733

Other identifiers 2

IdentifierTypeStateIssuer
183005225MedicaidMI
590H10020OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040825000684 MI Part B Supplier - Ambulance Service Supplier 6800860743 Practice locations: Ann Arbor, MI
O20081205000219 MI Part B Supplier - Mass Immunization (Roster Biller Only) 6800860743 1 other NPI on this enrollment
Practice locations: Ann Arbor, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1200 S State St
Ann Arbor, MI 48109
Phone (734) 764-0331

2215 Hogback Rd
Ann Arbor, MI 48105
Phone (734) 477-6261

408 E Kilbuck St
Tecumseh, MI 49286
Phone (517) 971-4420

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1689600975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 STATE CIR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081691",
            "telephone_number": "734-971-4733",
            "fax_number": "734-477-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STATE CIR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081691",
            "telephone_number": "734-971-4733",
            "fax_number": "734-477-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURON VALLEY AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "SLAGELL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "734-477-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "811006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183005225",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "590H10020",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.