SOUTHWEST SHIAWASSEE EMERGENCY SERVICES ALLIANCE NPI 1922151208

NPI Information

NPI: 1922151208
Provider Name: SOUTHWEST SHIAWASSEE EMERGENCY SERVICES ALLIANCE

Other Name: PERRY AREA FIRE RESCUE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
145 S MAIN STREET
PERRY, MI
ZIP 48872
Phone: (517) 625-7611
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SOUTHWEST SHIAWASSEE EMERGENCY SERVICES ALLIANCE is a land transport ambulance in Perry, MI. SOUTHWEST SHIAWASSEE EMERGENCY SERVICES ALLIANCE NPI is 1922151208. The provider is registered as an organization entity type.
The provider Other Name Is Perry Area Fire Rescue.

The provider's business location address is:

145 S MAIN STREET
PERRY, MI
ZIP 48872
Phone: (517) 625-7611

The provider's authorized official is Trent M Atkins .
The authorized official title is Fire Chief and has the following contact phone number (517) 881-6279.

The CLIA number assigned to this NPI record is 23D1034476 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 1/27/2024.

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		781010	MICHIGAN	No
2	3416L0300X	Ambulance	Land Transport			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	4727261	MEDICAID	MICHIGAN
2	0G81058	OTHER	MICHIGAN	BLUE CROSS

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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