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THREE OAKS EMERGENCY VEHICLE ASSOCIATION NPI 1417054925


NPI Information

NPI: 1417054925
Provider Name: THREE OAKS EMERGENCY VEHICLE ASSOCIATION
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 23D1069080

Address:
21 S ELM ST
THREE OAKS, MI
ZIP 49128
Phone: (269) 756-9818
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THREE OAKS EMERGENCY VEHICLE ASSOCIATION is an ambulance in Three Oaks, MI. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). THREE OAKS EMERGENCY VEHICLE ASSOCIATION NPI is 1417054925. The provider is registered as an organization entity type.

The provider's business location address is:

21 S ELM ST
THREE OAKS, MI
ZIP 49128-121
Phone: (269) 756-9818
Fax: (269) 756-9098

The provider's authorized official is Theresa M Beck .
The authorized official title is Operations Manager and has the following contact phone number (269) 756-9818.

The CLIA number assigned to this NPI record is 23D1069080 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2006 and was last updated on 1/23/2013.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1341600000XAmbulanceMICHIGANYes

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
10A10017MEDICARE PIN
2590A100173OTHERBLUE CROSS BLUE SHIELD
3182710541MEDICAIDMICHIGAN

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: 5/5/2024

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.