Southwestern Michigan Community Ambulance Service

Primary specialty

AmbulanceTaxonomy code 341600000X

License

111009 Issued in MI

Legal business name

SOUTHWESTERN MICHIGAN COMMUNITY AMBULANCE SERVICE

Practice address

2100 W Chicago Rd
Niles, MI 49120-8701

Phone

(269) 684-2170

Fax

(269) 684-2152

NPI assigned

Jun 8, 2005

Organization subpart

No

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

Authorized official

Name

James Brian Scribner

Title

Executive Director

Phone

(269) 684-2170

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1780688721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W CHICAGO RD",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491208701",
            "telephone_number": "269-684-2170",
            "fax_number": "269-684-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W CHICAGO RD",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491208701",
            "telephone_number": "269-684-2170",
            "fax_number": "269-684-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN MICHIGAN COMMUNITY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "SCRIBNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "269-684-2170"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "111009",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3003946",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "590A10023",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosamond C Soanes, D.C.
• Solace Professional Counseling PLLC
• Hyeokjin Son, D.M.D.
• South County ENT
• Southwestern Medical Clinic PC
• Corina Kay Spalding
• Bette Linne Spearritt, LMSW
• Cari Spencer
• Nicole Spencer
• Sport Track Physical Therapy and Human Performance

• Ambulance in Niles, MI
• Providers in Niles, MI by specialty
• Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.