Jackson Community Ambulance Inc.

LBN: Jackson Community Ambulance Inc.
Jackson Community Ambulance Inc. is an health care organization with primary practice located at 1200 State Cir , Ann Arbor MI 48108-1691. The organization recently has only one registered license in Transportation Services / Ambulance, which is considered as the primary health care specialty. Jackson Community Ambulance Inc. can be contacted via phone (734) 971-4733, or through Berry, Dale J via phone (734) 477-6262.

Contact Information

Primary practice address
1200 State Cir Ann Arbor MI 48108-1691
Phone: (734) 971-4733
Fax: (734) 477-6786
Website:
Map and Directions
Authorized official contact:
Name: Berry, Dale J
Phone: (734) 477-6262

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X 381013 Michigan

Profile Details

NPI number 1871521542
LBN Legal business name Jackson Community Ambulance Inc.
DBA Doing business as
Authorized official Berry, Dale J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2006
Last updated Feb 2nd, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871521542 NPPES
Michigan MEDICAID 183319100
Michigan Other 590H10003

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