COLOMA EMERGENCY AMBULANCE, INC. (NPI# 1053347559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053347559 |
| Entity Type | Organization |
| Organization Name | COLOMA EMERGENCY AMBULANCE, INC. |
| Other Organization Name | PRIDE CARE AMBULANCE |
| Practice Address |
5088 Meredith St Portage MI 49002-2002 |
| Mailing Address |
7909 Solutions Ctr Lockbox 777909 Chicago IL 60677-7009 |
| Practice Telephone | 2693432224 |
| Practice Fax Number | 2693436503 |
| Mailing Telephone | 2693432224 |
| Mailing Fax Number | 2693436503 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2015-05-22 |
| Authorized Official Name | MR. BRIAN B BALOW (PRESIDENT / CEO) |
| Authorized Official Telephone | 2693432224 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
111002 | MI | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS OF MICHIGAN | 590A100510 | 01 |
| MI | 2675246 | 05 | |
| MI | 182675246 | 05 |
| Other Name | Type Code |
|---|---|
| Pride Care Ambulance | Doing Business As Name - Organization |
| Street Address |
5088 MEREDITH ST |
| City | PORTAGE |
| State | MI |
| Zip Code | 49002-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1619211919 | Daketia L Thomas | Massage Therapist | 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 | 2012-11-27 |
| 1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
| 1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
| 1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| Find all providers in zip 49002 | ||||
| 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 |
|---|---|---|---|---|
| 1306965223 | City of Portage | Ambulance | 6070 Central Ave, Portage, IN 46368-3501 | 2007-03-29 |
| 1952436503 | Portage Area Ambulance Association | Ambulance | 655 North Railroad Ave, Portage, PA 15946-0237 | 2007-02-23 |
| 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 | ||||
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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.