Active NPI
Lapeer County EMS Authority
- Ambulance
- Lapeer, MI
National Provider Identifier
1881686764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 441002
- Legal business name
- LAPEER COUNTY EMS AUTHORITY
- Practice address
- 3565 Genesee Rd
St 1
Lapeer, MI 48446-2984 - Phone
- (810) 664-2927
- Fax
- (810) 664-3749
- NPI assigned
- Aug 17, 2005
- Last updated
- Apr 20, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Galland Burnham
- Title
- Executive Director
- Phone
- (810) 664-2927
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 441002 | MI | Primary |
| Land Ambulance | 3416L0300X | 441002 | MI |
Addresses
Primary practice location
3565 Genesee Rd
St 1
Lapeer, MI 48446-2984
Mailing address
3565 Genesee Rd
Suite # 1
Lapeer, MI 48446-2984
Phone (810) 664-2927
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184338370 | Medicaid | MI | |
| 590D400030 | Other | MI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100127000044 | MI | Part B Supplier - Ambulance Service Supplier | 0042352239 | Practice locations: Imlay City, MI; Lapeer, MI; North Branch, MI |
National Provider Directory
National Provider DirectoryLocations
395 E 3rd St
Imlay City, MI 48444
Phone (810) 664-2927
106 N Calhoun St
Lapeer, MI 48446
Phone (810) 664-2927
2341 N Lapeer Rd
Lapeer, MI 48446
Phone (810) 664-2927
3056 Davison Rd
Ste 1
Lapeer, MI 48446
3565 Genesee Rd
Lapeer, MI 48446
Phone (810) 664-2927
3565 Genesee Rd
#1
Lapeer, MI 48446
Phone (810) 664-2927
3565 Genesee Rd
Ste 1
Lapeer, MI 48446
6781 Elm St
North Branch, MI 48461
Phone (810) 664-2927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303257600000",
"number": "1881686764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3565 GENESEE RD",
"address_2": "SUITE # 1",
"city": "LAPEER",
"state": "MI",
"postal_code": "484462984",
"telephone_number": "810-664-2927",
"fax_number": "810-664-3749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3565 GENESEE RD",
"address_2": "ST 1",
"city": "LAPEER",
"state": "MI",
"postal_code": "484462984",
"telephone_number": "810-664-2927",
"fax_number": "810-664-3749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAPEER COUNTY EMS AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-17",
"last_updated": "2011-04-20",
"status": "A",
"authorized_official_last_name": "BURNHAM",
"authorized_official_first_name": "GALLAND",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "810-664-2927",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MI",
"license": "441002",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MI",
"license": "441002",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "184338370",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "590D400030",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lapeer, MI
- Lapeer Christian Counseling, LLC
- Lapeer Community Pharmacy, LLC
- Lapeer Community Urgent Care PLLC
- Lapeer Counseling Center
- Lapeer County Community Mental Health
- Lapeer County Eye Associates Inc
- Lapeer County Health Department
- Lapeer County Health Department
- Lapeer County Intermediate School District
- Lapeer County Jail
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.