Provider Demographics
NPI:1538148317
Name:WEST MICHIGAN AIR CARE, INC.
Entity type:Organization
Organization Name:WEST MICHIGAN AIR CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:HEFFELFINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-337-2517
Mailing Address - Street 1:7 HEALTHCARE PLAZA
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007
Mailing Address - Country:US
Mailing Address - Phone:269-337-2505
Mailing Address - Fax:226-337-2506
Practice Address - Street 1:7 HEALTHCARE PLAZA
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007
Practice Address - Country:US
Practice Address - Phone:269-337-2505
Practice Address - Fax:226-337-2506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-11
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2915048Medicaid
MI590C90180OtherBCBSM PROVIDER ID
MI2915048Medicaid