{"npi":"1720046188","type":"NPI-2","status":"active","name":{"display":"Superior Air-Ground Ambulance Service Of Michigan, INC","other":[],"organization_name":"SUPERIOR AIR-GROUND AMBULANCE SERVICE OF MICHIGAN, INC","authorised_official":"Kimberly Godden"},"specialty":{"primary_taxonomy":"3416L0300X","primary_taxonomy_description":"Land Ambulance","slug":"land-ambulance","schema_org_specialty":null,"all":[{"code":"3416A0800X","description":"Air Ambulance","primary":false,"state":"MI","license":"501040"},{"code":"3416L0300X","description":"Land Ambulance","primary":true,"state":"MI","license":"501040"}]},"addresses":[{"purpose":"LOCATION","street_1":"2000 CENTERWOOD DR","city":"WARREN","state":"MI","postal_code":"48091","country_code":"US","phone":"3138328558"},{"purpose":"MAILING","street_1":"395 W LAKE ST","city":"ELMHURST","state":"IL","postal_code":"601261508","country_code":"US","phone":"6305381887","fax":"6309032835"}],"license":{"state":"MI","number":"501040"},"identifiers":[{"type_code":"01","label":"Other","value":"058738","state":"MI","issuer":"HAP(HEALTH ALLIANCE PLAN)"},{"type_code":"01","label":"Other","value":"0E01788","state":"MI","issuer":"BLUECROSS BLUESHIELD"},{"type_code":"05","label":"Medicaid","value":"188077058","state":"MI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050909000693","type_code":"12-59","type_desc":"PART B SUPPLIER - AMBULANCE SERVICE SUPPLIER","state":"MI","pac_id":"2365474384"}]},"enumeration_date":"2006-05-03","last_updated":"2018-07-18","_meta":{"source":"NPPES","snapshot_date":"2018-07-18","doc_url":"https://findmynpi.com/api"}}