Provider Demographics
NPI:1508931684
Name:ARCHY'S & SONS, INC
Entity Type:Organization
Organization Name:ARCHY'S & SONS, INC
Other - Org Name:LANSING-MASON AREA AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:AMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-676-3023
Mailing Address - Street 1:4148 LEGION DR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:MI
Mailing Address - Zip Code:48854-2546
Mailing Address - Country:US
Mailing Address - Phone:517-676-3023
Mailing Address - Fax:
Practice Address - Street 1:4148 LEGION DR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:MI
Practice Address - Zip Code:48854-2546
Practice Address - Country:US
Practice Address - Phone:517-676-3023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI331012146L00000X, 146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty
Not Answered146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI590C30026OtherBCBSM
MI1962295Medicaid
MI590C30026OtherBCBSM