ROCKFORD AMBULANCE INC (NPI# 1013952589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013952589 |
| Entity Type | Organization |
| Organization Name | ROCKFORD AMBULANCE INC |
| Other Organization Name | LOWELL AMBULANCE, SPARTA AMBULANCE, GRAND RAPIDS TWP. AMBULANCE |
| Practice Address |
8450 Shaner Ave Ne Rockford MI 49341-9379 |
| Mailing Address |
8450 Shaner Ave. Ne Rockford MI 49341 |
| Practice Telephone | 6168660724 |
| Practice Fax Number | 6168663903 |
| Mailing Telephone | 6168660724 |
| Mailing Fax Number | 6168663903 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2014-12-02 |
| Authorized Official Name | MRS. RISSIE HAACK (OFFICE MANGER) |
| Authorized Official Telephone | 6168660724 |
| Is Organization Subpart | Y |
| Parent Organization Name | ROCKFORD AMBULANCE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services | ||
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
411004 | MI | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE | 590058353 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 590D10018 | 01 |
| MI | 3001478 | 05 |
| Other Name | Type Code |
|---|---|
| Lowell Ambulance, Sparta Ambulance, Grand Rapids Twp. Ambulance | Other Name - Individual/Organization |
| Street Address |
8450 SHANER AVE NE |
| City | ROCKFORD |
| State | MI |
| Zip Code | 49341-9379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801451836 | Heather Nash | Social Worker | 65 S. Main Street, Lower Level, Rockford, MI 49341 | 2019-05-06 |
| 1366967069 | Caitlin Lebron | Case Manager/Care Coordinator | 8625 Wildcat Run Dr Ne, Rockford, MI 49341 | 2017-08-03 |
| 1366967077 | Elite Nurse Staffing, LLC | Nursing Care | 3836 Windwood Drive, Ne, Rockford, MI 49341 | 2017-08-03 |
| 1336678747 | Melissa Diane Maynard | Behavior Technician | 3361 36th St., Grand Rapids, MI 49341 | 2017-06-08 |
| 1376077453 | Spectrum Health Primary Care Partners | Internal Medicine | 8501 Meadowcreek Dr, Rockford, MI 49341 | 2017-04-17 |
| 1871025254 | Robin D Dine | Behavior Technician | 8636 Shaner Ave, Rockford, MI 49341 | 2017-04-03 |
| 1528503216 | Miles Skalnek | Pharmacist | 511 10 Mile Road, Rockford, MI 49341 | 2017-01-04 |
| 1366801664 | Lorri Ann Kelbel | Massage Therapist | 11591 Northland Drive Ne, Rockford, MI 49341 | 2016-02-15 |
| 1275872046 | Eugene Louis Bonofiglo | Dentist | 4655- 14 Mile Rd Ne, Rockford, MI 49341 | 2013-02-13 |
| 1740539246 | Erica Joyce Nichols | Chiropractor | 6769 Courtland Dr, Suite 100, Rockford, MI 49341 | 2012-08-30 |
| Find all providers in zip 49341 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1720050826 | City of Rockford | Ambulance | 204 S 1st St, Rockford, IL 61104-2033 | 2006-02-02 |
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| Find all providers with the same taxonomy | ||||
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| 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.