Eastern Huron Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

321002 Issued in MI

Legal business name

EASTERN HURON AMBULANCE SERVICE

Practice address

108 Nelson St
Harbor Beach, MI 48441-1168

Phone

(989) 479-0910

Fax

(989) 479-0911

NPI assigned

Oct 6, 2006

Last updated

Nov 2, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Warren C. Ramsey, EMT

Title

Manager/Ic

Phone

(989) 479-0910

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1811084577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "HARBOR BEACH",
            "state": "MI",
            "postal_code": "484410028",
            "telephone_number": "989-479-0910",
            "fax_number": "989-479-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NELSON ST",
            "city": "HARBOR BEACH",
            "state": "MI",
            "postal_code": "484411168",
            "telephone_number": "989-479-0910",
            "fax_number": "989-479-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN HURON AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGER/IC",
        "authorized_official_telephone_number": "989-479-0910",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "321002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "590C20016",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004658",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "20100A",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P25162F",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concerned Home Care Outsourcing, LLC (Concerned Outpatient Therapy)
• Lisa Ann Daniels
• Michael A Delpiere, R.PH.
• Rhonda Lynn Dennis, LMSW, SSW
• Neisha Ann Dickman, P.T.
• Camille Eusebio, PT
• Gabriel B. Holdwick, DDS, PC
• Harbor Beach Chiropractic Clinic Inc.
• Harbor Beach Community Hospital Inc
• Harbor Beach Community Hospital Inc (Lakeview Extended Care and Rehab)

• Land Ambulance in Harbor Beach, MI
• Providers in Harbor Beach, MI by specialty
• Land Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.