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 |
| 1 | 341600000X | Ambulance | | 781002 | MICHIGAN | Yes |
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 |
| 1 | 590G80007 | OTHER | MICHIGAN | BLUE CROSS BLUE SHIELD MI |
| 2 | 3000499 | OTHER | MICHIGAN | COMMUNITY CHOICE |
| 3 | 0000200 | OTHER | MICHIGAN | HEALTH PLUS OF MICHIGAN |
| 4 | 1221240001 | OTHER | MICHIGAN | CHS THE WELLNESS PLAN |
| 5 | 3000499 | OTHER | MICHIGAN | CAPE HEALTH PLAN |
| 6 | 3000499 | MEDICAID | MICHIGAN | |
| 7 | 0000200 | OTHER | MICHIGAN | GENESEE HEALTH PLAN |
| 8 | 1830000499 | OTHER | MICHIGAN | WASHTENAW HEALTH PLAN |
| 9 | 3000499 | OTHER | MICHIGAN | HEALTH PLAN OF MICHIGAN |
| 10 | 3000499 | OTHER | MICHIGAN | GREAT LAKES HEALTH PLAN |
| 11 | 3000499 | OTHER | MICHIGAN | TOTAL HEALTH CARE |
| 12 | 1000137 | OTHER | MICHIGAN | MCLAREN HEALTH PLAN |
| 13 | 3000499 | OTHER | MICHIGAN | KALAMAZOO COUNTY HEALTH P |
| 14 | 3000499 | OTHER | MICHIGAN | MIDWEST HEALTH PLAN |
| 15 | 4528105 | OTHER | MICHIGAN | MID MICHIGAN HEALTH PLAN |
