CORUNNA AREA AMBULANCE SERVICE INC NPI 1104013077

NPI Information

  • NPI: 1104013077
  • Provider Name: CORUNNA AREA AMBULANCE SERVICE INC
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • CLIA Number: 23D1047494
  • Address: 610 N SHIAWASSEE ST
    CORUNNA, MI
    ZIP 48817
  • Phone: (989) 743-3050

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NPI Details

CORUNNA AREA AMBULANCE SERVICE INC is a land transport ambulance in Corunna, MI. CORUNNA AREA AMBULANCE SERVICE INC NPI is 1104013077. The provider is registered as an organization entity type.

The provider's business location address is:

610 N SHIAWASSEE ST
CORUNNA, MI
ZIP 48817-040
Phone: (989) 743-3050

The provider's authorized official is Brian W Matthies .
The authorized official title is Operations Manager and has the following contact phone number (989) 743-3050.

The CLIA number assigned to this NPI record is 23D1047494 - ambulance with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, basic life support, non-emergency transport, (bls) (HCPCS:A0428)
  • Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
  • Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) (HCPCS:A0426)

The enumeration date for this NPI number is 9/25/2007 and was last updated on 12/15/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand Transport088344MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13003839MEDICAIDMICHIGAN
2200000008550OTHERMICHIGANPHPMM
3590045289OTHERRAILROAD MEDICARE
4590G800160OTHERMICHIGANBCBSM

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: 3/30/2025

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