Organization Active NPI

Elsie Area Ambulance Service Inc

  • Land Ambulance
  • Elsie, MI
National Provider Identifier
1841493780
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
191002 Issued in MI
Legal business name
ELSIE AREA AMBULANCE SERVICE INC
Practice address
125 W. Main St
Elsie, MI 48831
Phone
(989) 834-5440
NPI assigned
Jun 7, 2007
Last updated
Feb 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Dawn D Levey
Title
Director
Phone
(989) 834-5440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 191002 MI Primary

Addresses

Primary practice location

125 W. Main St
Elsie, MI 48831

Mailing address

1701 Lake Lansing Rd
Suite 100
Lansing, MI 48912-3798
Phone (517) 485-0001

Other identifiers 2

IdentifierTypeStateIssuer
4502118MedicaidMI
590A90007OtherMIBLUE CROSS BLUE SHIELD OF

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1841493780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 LAKE LANSING RD",
            "address_2": "SUITE 100",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123798",
            "telephone_number": "517-485-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W. MAIN ST",
            "city": "ELSIE",
            "state": "MI",
            "postal_code": "48831",
            "telephone_number": "989-834-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSIE AREA AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "LEVEY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "989-834-5440"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "191002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4502118",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "590A90007",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elsie, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.