LIFE EMS OF KALAMAZOO INC NPI 1578510764

NPI Information

NPI: 1578510764
Provider Name: LIFE EMS OF KALAMAZOO, INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 23D0693429

Address:
517 E NORTH ST
KALAMAZOO, MI
ZIP 49007
Phone: (269) 349-4411
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LIFE EMS OF KALAMAZOO, INC is a land transport ambulance in Kalamazoo, MI. LIFE EMS OF KALAMAZOO, INC NPI is 1578510764. The provider is registered as an organization entity type.

The provider's business location address is:

517 E NORTH ST
KALAMAZOO, MI
ZIP 49007-534
Phone: (269) 349-4411

The provider's authorized official is Mark D Meijer .
The authorized official title is President/owner and has the following contact phone number (616) 242-8805.

The CLIA number assigned to this NPI record is 23D0693429 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 3/7/2023.

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	391012	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	2691802	MEDICAID	MICHIGAN

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: 4/28/2024

NPI Synchronization or Removal

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