Superior Air-ground Ambulance Service Of Michigan, Inc, NPI 1720046188
Land Ambulance in Warren, MI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1720046188 |
| NPI Entity Type | Organization |
| Provider Name | Superior Air-ground Ambulance Service Of Michigan, Inc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 2000 Centerwood Dr, Warren, MI, US |
| Provider Mailing Address | 395 W Lake St, Elmhurst, IL, US, 601261508 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Kimberly Pate Godden III |
| Official Position | VICE PRESIDENT |
| Phone | 630-903-2401 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Land Ambulance |
| Classification | |
| Group | |
| License No. | 501040 |
| License State | MI |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 501040 | MI | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 058738 | MI | HAP(HEALTH ALLIANCE PLAN) | 01 |
| 0E01788 | MI | BLUECROSS BLUESHIELD | 01 |
| 188077058 | MI | MEDICAID | 05 |
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| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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PT Esther Karunakar Individual |
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MD Sailaja Yadavalli Individual |
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MD Jeffery Wong Individual |
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MRS. P.A.-C Sarah Zukowski Wilhelm Individual |
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MD Bridget Wiater Individual |
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M.D. Ann E Swinford Individual |
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Lindsay Essig Individual |
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LPC Jonathan Hart Individual |
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DDS, MS Suhaib Alqawasmeh Individual |
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Alexis K Willmore Individual |
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DR. DO, MPH Jimmy Wayne Brandon Individual |
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Logan Morse Individual |
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