Organization
SOUTHWESTERN MICHIGAN EMERGENCY SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DEMOSS DO (PRESIDENT)
(269) 343-3900
Entity
Organization
Contact information
Practice address
125 S KALAMAZOO MALL, SUITE 204, KALAMAZOO, MI 49007-4832
(866) 898-7139
(616) 975-9827
Mailing address
125 S KALAMAZOO MALL, SUITE 204, KALAMAZOO, MI 49007-4832
(866) 898-7139
(616) 975-9827
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010C96159
BCBS
MI
01
—
700H01007
BCBS
MI
01
—
700Z310360
BCBS
MI
01
—
CC0530
RR MEDICARE
MI
01
—
CN1229
RR MEDICARE
MI
01
—
DC9527
RR MEDICARE
—
Enumeration date
08/17/2006
Last updated
07/09/2013
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