Organization Active NPI

Lapeer County EMS Authority

  • Ambulance
  • Lapeer, MI
National Provider Identifier
1881686764
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
441002 Issued in MI
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
184338370MedicaidMI
590D400030OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100127000044 MI Part B Supplier - Ambulance Service Supplier 0042352239 Practice locations: Imlay City, MI; Lapeer, MI; North Branch, MI

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.