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SOUTHWESTERN MICHIGAN EMERGENCY SERVICES PC NPI 1013021310


NPI Information

NPI: 1013021310
Provider Name: SOUTHWESTERN MICHIGAN EMERGENCY SERVICES, PC
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
125 S KALAMAZOO MALL
SUITE 204
KALAMAZOO, MI
ZIP 49007
Phone: (866) 898-7139
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SOUTHWESTERN MICHIGAN EMERGENCY SERVICES, PC is an emergency medical services emergency medicine in Kalamazoo, MI. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. SOUTHWESTERN MICHIGAN EMERGENCY SERVICES, PC NPI is 1013021310. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

125 S KALAMAZOO MALL
SUITE 204
KALAMAZOO, MI
ZIP 49007-832
Phone: (866) 898-7139
Fax: (616) 975-9827

The provider's authorized official is James Demoss .
The authorized official title is President and has the following contact phone number (269) 343-3900.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 7/9/2013.


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
1207PE0004XEmergency MedicineEmergency Medical ServicesMICHIGANYes

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
1700H01007OTHERMICHIGANBCBS
2CN1229OTHERMICHIGANRR MEDICARE
30P08090MEDICARE PIN
4700Z310360OTHERMICHIGANBCBS
5DC9527OTHERRR MEDICARE
60M79650MEDICARE PINMICHIGAN
7CC0530OTHERMICHIGANRR MEDICARE
80C96159MEDICARE PINMICHIGAN
9010C96159OTHERMICHIGANBCBS

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: 11/14/2023

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.