Provider Demographics
NPI:1740222330
Name:REGIONAL EMERGENCY MEDICAL SERVICE INC
Entity Type:Organization
Organization Name:REGIONAL EMERGENCY MEDICAL SERVICE INC
Other - Org Name:REGIONAL EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUCHEMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-356-3900
Mailing Address - Street 1:25400 W 8 MILE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-3866
Mailing Address - Country:US
Mailing Address - Phone:248-356-3900
Mailing Address - Fax:
Practice Address - Street 1:G3082 N CENTER RD
Practice Address - Street 2:SUITE A
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48506-2677
Practice Address - Country:US
Practice Address - Phone:810-736-2045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3228614Medicaid
MI3228614Medicaid