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PATRIOT AMBULANCE SERVICE INC. NPI 1215020441


NPI Information

NPI: 1215020441
Provider Name: PATRIOT AMBULANCE SERVICE, INC.

Doing Business As: PATRIOT AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 23D1037979

Address:
4225 MILLER ROAD
#233
FLINT, MI
ZIP 48507
Phone: (810) 742-5391
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PATRIOT AMBULANCE SERVICE, INC. is a land transport ambulance in Flint, MI. PATRIOT AMBULANCE SERVICE, INC. NPI is 1215020441. The provider is registered as an organization entity type.
The provider Is Doing Business As Patriot Ambulance Service.

The provider's business location address is:

4225 MILLER ROAD
#233
FLINT, MI
ZIP 48507
Phone: (810) 742-5391
Fax: (810) 742-5366

The provider's authorized official is Jeff Yorke .
The authorized official title is President and has the following contact phone number (810) 742-5391.

The CLIA number assigned to this NPI record is 23D1037979 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 3/21/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand Transport251040MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10N86510MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE
20997666OTHERMICHIGANHEALTH PLUS OF MI
3590B512330OTHERMICHIGANBLUE CROSS BLUE SHIELD
44600594MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.