Superior Air-Ground Ambulance Service Of Michigan, Inc

LBN: Superior Air-Ground Ambulance Service Of Michigan, Inc
Superior Air-Ground Ambulance Service Of Michigan, Inc is an health care organization with primary practice located at 2000 Centerwood Dr , Warren MI 48091. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Air Transport, Transportation Services / Land Transport. Transportation Services / Land Transport is the primary health care specialty. Superior Air-Ground Ambulance Service Of Michigan, Inc can be contacted via phone (313) 832-8558, or through Godden, Kimberly Pate via phone (630) 903-2401.

Contact Information

Primary practice address
2000 Centerwood Dr Warren MI 48091
Fax:
Website:
Authorized official contact:
Name: Godden, Kimberly Pate

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Air Transport 3416A0800X 501040 Michigan
Transportation Services / Land Transport 3416L0300X 501040 Michigan

Profile Details

NPI number 1720046188
LBN Legal business name Superior Air-Ground Ambulance Service Of Michigan, Inc
DBA Doing business as
Authorized official Godden, Kimberly Pate
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Jul 18th, 2018 - about 7 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 1720046188 NPPES
Michigan Other 058738 HAP(HEALTH ALLIANCE PLAN)
Michigan Other 0E01788 HAP(HEALTH ALLIANCE PLAN)
Michigan MEDICAID 188077058 HAP(HEALTH ALLIANCE PLAN)

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