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

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

Other identifiers 2

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Alliance Mobile Health Inc

  • Ambulance
  • Troy, MI
  • NPI 1932118619

  Member Of

  NPD member
• Monroe Community Ambulance

  • Ambulance
  • Monroe, MI
  • NPI 1215982749

  Member Of

  NPD member

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183005225",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "590H10020",
            "state": "MI"
        }
    ],
    "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.