MEDICARE: SOUTHWESTERN MICHIGAN COMMUNITY AMBULANCE SERVICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)
2	341600000X	Ambulance	111009	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	590A10023	OTHER		BLUE CROSS

General Provider Information

NPI Number	:	1780688721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHWESTERN MICHIGAN COMMUNITY AMBULANCE SERVICE

Provider Business Mailing Address
First Line	:	2100 W CHICAGO RD
Second Line	:
City	:	NILES
State	:	MI
Zip	:	49120-8701
Country	:	US
Telephone Number	:	269-684-2170
Fax Number	:	269-684-2152

Provider Business Practice Location Address
First Line	:	2100 W CHICAGO RD
Second Line	:
City	:	NILES
State	:	MI
Zip	:	49120-8701
Country	:	US
Telephone Number	:	269-684-2170
Fax Number	:	269-684-2152

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JAMES BRIAN SCRIBNER
Credential	:
Telephone Number	:	269-684-2170

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	03/20/2017

Similar Medicare Providers

1447103809 — EHIBIE SYLVIE SANOU NEZIEN
Practice Location Address:

24 N SAINT JOSEPH AVE STE G
NILES, MI
49120-2263

Practice Phone: 269-684-4270
Practice Fax:

1902382385 — GLC HOME HEALTH SWMI LLC
Practice Location Address:

312 E. MAIN STREET STE. 1
NILES, MI
49120

Practice Phone: 269-663-2209
Practice Fax: 269-663-2209

1235134461 — MICHIANA HEMATOLOGY ONCOLOGY OF MICHIGAN, P.C.
Practice Location Address:

4 LONGMEADOW DRIVE , SUITE ONE
NILES, MI
49120

Practice Phone: 269-683-4153
Practice Fax: 269-683-4154

1003812926 — DR. DENNIS L DISCH M.D.
Practice Location Address:

61 N SAINT JOSEPH AVE
NILES, MI
49120-2207

Practice Phone: 269-684-6777
Practice Fax: 269-683-5384

1538167267 — ARDAN ASSOCIATES, INC
Practice Location Address:

1211 STATELINE RD
NILES, MI
49120-4729

Practice Phone: 269-684-2810
Practice Fax: 269-684-0726

1962496380 — NORBERT SCHWER MD
Practice Location Address:

423 SYCAMORE ST STE 103
NILES, MI
49120-2374

Practice Phone: 269-479-3030
Practice Fax: 269-479-3032

Directions to “SOUTHWESTERN MICHIGAN COMMUNITY AMBULANCE SERVICE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.