Rock Community Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

211008 Issued in MI

Legal business name

ROCK COMMUNITY AMBULANCE SERVICE INC

Practice address

14376 M-35
Rock, MI 49880

Phone

(906) 231-9020

NPI assigned

Sep 18, 2012

Organization subpart

No

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

Authorized official

Name

Cheryl Patrick

Title

Director

Phone

(906) 356-6905

Specialties & licenses 1

Addresses

Other identifiers 1

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

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1811247729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44",
            "city": "ROCK",
            "state": "MI",
            "postal_code": "498800044",
            "telephone_number": "906-231-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14376 M-35",
            "city": "ROCK",
            "state": "MI",
            "postal_code": "49880",
            "telephone_number": "906-231-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK COMMUNITY AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "906-356-6905"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "211008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2973730",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassidy Jae Hanson, PA-C
• Rock Community Ambulance Service Inc

• Land Ambulance in Rock, MI
• Providers in Rock, 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 4, 2015; 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.