South County EMS Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

391027 Issued in MI

Legal business name

SOUTH COUNTY EMS INC

Practice address

13318 N Boulevard St
Vicksburg, MI 49097-1514

Phone

(269) 649-1381

Fax

(269) 649-4922

NPI assigned

Jun 18, 2006

Last updated

May 31, 2012By 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. Tracy McMillian

Title

Operations Manager

Phone

(269) 649-1381

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1851336382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13318 N BOULEVARD ST",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490971514",
            "telephone_number": "269-649-1381",
            "fax_number": "269-649-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13318 N BOULEVARD ST",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490971514",
            "telephone_number": "269-649-1381",
            "fax_number": "269-649-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "MCMILLIAN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "269-649-1381",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "391027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3042505",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karolina Rosol
• Amy Schaafsma
• Elizabeth Grace Schreur
• David J Schriemer, M.D.
• Kelly Ann Soekarmoen, R.PH.
• South County Home Health Providers
• Southern Michigan Foot & Ankle, PLC
• Felisha Faye Spence, LLPC
• Kristin K Springer, OTR/L
• Sarah Stephan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.