Organization
SOUTHWESTERN MICHIGAN COMMUNITY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BRIAN SCRIBNER (EXECUTIVE DIRECTOR)
(269) 684-2170
Entity
Organization
Contact information
Practice address
2100 W CHICAGO RD, NILES, MI 49120-8701
(269) 684-2170
(269) 684-2152
Mailing address
2100 W CHICAGO RD, NILES, MI 49120-8701
(269) 684-2170
(269) 684-2152
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
111009
MI
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3003946
—
MI
01
—
590A10023
BLUE CROSS
—
Enumeration date
06/08/2005
Last updated
03/20/2017
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