# SOUTHWESTERN MICHIGAN COMMUNITY AMBULANCE SERVICE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780688721
- **Authorized official:** JAMES BRIAN SCRIBNER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (269) 684-2170

## Contact information

- **Practice address:** 2100 W CHICAGO RD, NILES, MI 49120-8701
- **Practice address phone:** (269) 684-2170
- **Practice address fax:** (269) 684-2152
- **Mailing address:** 2100 W CHICAGO RD, NILES, MI 49120-8701
- **Mailing address phone:** (269) 684-2170
- **Mailing address fax:** (269) 684-2152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 111009 | MI | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 06/08/2005
- **Last updated:** 03/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3003946 | — | MI |
| 01 | — | 590A10023 | BLUE CROSS | — |