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CLINTON AREA AMBULANCE SERVICE AUTHORITY NPI 1023046695


NPI Information

NPI: 1023046695
Provider Name: CLINTON AREA AMBULANCE SERVICE AUTHORITY
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 23D1046574

Address:
1001 S OAKLAND ST
SAINT JOHNS, MI
ZIP 48879
Phone: (517) 227-5713
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CLINTON AREA AMBULANCE SERVICE AUTHORITY is a land transport ambulance in Saint Johns, MI. CLINTON AREA AMBULANCE SERVICE AUTHORITY NPI is 1023046695. The provider is registered as an organization entity type.

The provider's business location address is:

1001 S OAKLAND ST
SAINT JOHNS, MI
ZIP 48879-305
Phone: (517) 227-5713

The provider's authorized official is Lynn Charles Weber .
The authorized official title is Director and has the following contact phone number (989) 227-5713.

The CLIA number assigned to this NPI record is 23D1046574 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 12/6/2021.


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 Transport191001MICHIGANYes

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
14737624MEDICAIDMICHIGAN
2590A910200OTHERMICHIGANBCBSM
3P00218396OTHERRAILROAD MEDICARE
4200000000500OTHERPHPMM

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.