Active NPI
Pride Ambulance Company
- Land Ambulance
- Kalamazoo, MI
National Provider Identifier
1689674160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 391036
- Legal business name
- PRIDE AMBULANCE COMPANY
- Practice address
- 828 Portage St
Kalamazoo, MI 49001-3004 - Phone
- (269) 343-2224
- Fax
- (269) 343-6503
- NPI assigned
- Jul 27, 2005
- 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
- Mr. Tim Onderlinde
- Title
- Owner
- Phone
- (269) 343-2224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 391036 | MI | Primary |
Addresses
Primary practice location
828 Portage St
Kalamazoo, MI 49001-3004
Mailing address
828 Portage St
Kalamazoo, MI 49001-3004
Phone (269) 343-2224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4307392 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
828 Portage St
Kalamazoo, MI 49001
Phone (269) 343-0559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216771200000",
"number": "1689674160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 PORTAGE ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490013004",
"telephone_number": "269-343-2224",
"fax_number": "269-343-6503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 PORTAGE ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490013004",
"telephone_number": "269-343-2224",
"fax_number": "269-343-6503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIDE AMBULANCE COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-27",
"last_updated": "2008-07-23",
"status": "A",
"authorized_official_last_name": "ONDERLINDE",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "269-343-2224",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MI",
"license": "391036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4307392",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.