Huron Valley Ambulance Inc

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

811006 Issued in MI

Legal business name

HURON VALLEY AMBULANCE INC

Practice address

1200 State Cir
Ann Arbor, MI 48108-1691

Phone

(734) 971-4733

Fax

(734) 477-6786

NPI assigned

Oct 21, 2008

Last updated

Oct 21, 2008By 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. Dale J Berry

Title

President /Ceo

Phone

(734) 477-6262

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Huron Valley Ambulance Inc

  • Ambulance
  • Ann Arbor, MI
  • NPI 1689600975

  O20081205000219

  Same enrollment

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1922250018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 STATE CIR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081691",
            "telephone_number": "734-971-4733",
            "fax_number": "734-477-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STATE CIR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081691",
            "telephone_number": "734-971-4733",
            "fax_number": "734-477-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURON VALLEY AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT /CEO",
        "authorized_official_telephone_number": "734-477-6262",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MI",
            "license": "811006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle Hurd, M.A.
• Huron Dental Center
• Huron River Counseling LLC
• Huron River Psychiatry PC
• Huron Valley Ambulance Inc
• Huron Valley Consultation Center Inc
• Huron Valley Physician Association, P.C.
• Kathryn Michelle Hurren, PHARM.D.
• Brenden Hursh, M.D.
• Emily Elizabeth Hurst

• Public Health & General Preventive Medicine Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Public Health & General Preventive Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.