OVID MIDDLEBURY EMERGENCY SERVICE AUTHORITY NPI 1467481259

NPI Information

NPI: 1467481259
Provider Name: OVID MIDDLEBURY EMERGENCY SERVICE AUTHORITY
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 23D1045540

Address:
144 E 1ST ST
OVID, MI
ZIP 48866
Phone: (989) 834-5550
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OVID MIDDLEBURY EMERGENCY SERVICE AUTHORITY is a land transport ambulance in Ovid, MI. OVID MIDDLEBURY EMERGENCY SERVICE AUTHORITY NPI is 1467481259. The provider is registered as an organization entity type.

The provider's business location address is:

144 E 1ST ST
OVID, MI
ZIP 48866-742
Phone: (989) 834-5550

The provider's authorized official is Steven Pease .
The authorized official title is Fire Chief and has the following contact phone number (989) 834-5707.

The CLIA number assigned to this NPI record is 23D1045540 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 8/29/2012.

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	3416L0300X	Ambulance	Land Transport	191003	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	0N57810	MEDICARE PIN	MICHIGAN
2	2703430	MEDICAID	MICHIGAN
3	200000007800	OTHER	MICHIGAN	PHPMM
4	590006460	OTHER		RAILROAD MEDICARE
5	590A90009	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD
6	81-09011	OTHER	MICHIGAN	PHP

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

NPI Synchronization or Removal

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