Organization Name: | SOUTHWESTERN MICHIGAN EMERGENCY SERVICES, PC |
NPI Number: | 1013021310 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES DEMOSS (PRESIDENT) |
Mailing Address: | 125 S Kalamazoo Mall Suite 204 Kalamazoo |
State: | MI US |
Postal Code: | 490074832 |
Phone Number: | 8668987139 |
Fax Number: | 6169759827 |
NPI Enumeration Date: | 08/17/2006 |
NPI Last Update Date: | 07/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |