Miles Grubb Associates LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

631074 Issued in MI

Legal business name

MILES GRUBB ASSOCIATES LLC

Doing business as

Star EMS

Practice address

63 Oakland Ave
Pontiac, MI 48342-2044

Phone

(248) 338-9335

Fax

(248) 338-9364

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

William Grubb

Title

Chief Executive Officer

Phone

(248) 338-9335

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Star EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1699863704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420155",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483420155",
            "telephone_number": "248-338-9335",
            "fax_number": "248-338-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 OAKLAND AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422044",
            "telephone_number": "248-338-9335",
            "fax_number": "248-338-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES GRUBB ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "GRUBB",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "248-338-9335"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "631074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4523261",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Michigan Radiation Institute LLC
• Michigan Services Network Inc
• Charmane Miles
• Stephanie Milford, CRNA
• Susan Miller-Thompson, MAAT,CAAC
• Rico Miller
• Theresa Jeanne Miller, LLP

• Land Ambulance in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Land Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.