Organization Active NPI

Pride Ambulance Company

  • Land Ambulance
  • Kalamazoo, MI
National Provider Identifier
1689674160
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
391036 Issued in MI
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

Updated by the provider on Jul 23, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4307392MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.