BEAUMONT MEDICAL TRANSPORTATION SERVICES, INC (NPI# 1003092560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003092560 |
| Entity Type | Organization |
| Organization Name | BEAUMONT MEDICAL TRANSPORTATION SERVICES, INC |
| Other Organization Name | BEAUMONT MOBILE MEDICINE |
| Practice Address |
25400 W 8 Mile Rd Southfield MI 48033-3866 |
| Mailing Address |
26901 Beaumont Blvd. Compliance Southfield MI 48033-4617 |
| Practice Telephone | 2483563900 |
| Mailing Telephone | 9475221963 |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | CAROLYN S. WILSON (EVP & COO) |
| Authorized Official Telephone | 9475223338 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
631081 | MI | Transportation Services |
| Other Name | Type Code |
|---|---|
| Beaumont Mobile Medicine | Doing Business As Name - Organization |
| Street Address |
25400 W 8 MILE RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-3866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649212101 | Community Emergency Medical Service Inc | Ambulance | 25400 W 8 Mile Rd, Southfield, MI 48034-3866 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649212101 | Community Emergency Medical Service Inc | Ambulance | 25400 W 8 Mile Rd, Southfield, MI 48034-3866 | 2006-06-11 |
| 1578814984 | First Response Ems, Inc | Ambulance | 21700 Northwestern Hwy, Southfield, MI 48075-4906 | 2012-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548739063 | City of Lincoln Park / Lincoln Park Fire Department | Ambulance | 1355 Cleophus Pkwy, Lincoln Park, MI 48146-2301 | 2018-11-14 |
| 1407347198 | Village of Holly | Ambulance | 414 N Saginaw St, Holly, MI 48442-1411 | 2018-05-29 |
| 1700385994 | Township of Paradise | Ambulance | 2300 E M 113, Kingsley, MI 49649-9370 | 2018-02-02 |
| 1073024808 | Township of Bedford | Ambulance | 7016 Lewis Ave, Temperance, MI 48182-1205 | 2017-10-19 |
| 1467904565 | Elmwood Charter Township | Ambulance | 10090 E Lincoln Rd, Traverse City, MI 49684-8487 | 2016-10-25 |
| 1437600558 | Cedar Area Fire & Rescue | Ambulance | 8907 S. Railroad Ave, Cedar, MI 49621-0208 | 2016-10-24 |
| 1023463833 | Lyon Township | Ambulance | 58800 Grand River Ave, New Hudson, MI 48165-9721 | 2016-04-29 |
| 1740685809 | Faithorn Rescue Squad | Ambulance | W8601 Blum Rd, Vulcan, MI 49892-9635 | 2014-10-30 |
| 1538568902 | City of Romulus | Ambulance | 28777 Eureka Rd, Romulus, MI 48174-2849 | 2014-08-21 |
| 1669898763 | Rapid Response One Ems | Ambulance | 600 N Houghton Ave, Manistique, MI 49854-1166 | 2014-03-13 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on BEAUMONT MEDICAL TRANSPORTATION SERVICES, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.