SUPERIOR AIR-GROUND AMBULANCE SERVICE OF MICHIGAN, INC
NPI 1720046188
Ambulance - Land Transport in Warren, MI

Q: What is Superior Air-Ground Ambulance Service Of Michigan, Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Active since May 03, 2006CLIA 23D1069398 · Waiver

2000 CENTERWOOD DR, WARREN, MI 48091(313) 832-8558 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Superior Air-ground Ambulance Service Of Michigan, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPERIOR AIR-GROUND AMBULANCE SERVICE OF MICHIGAN, INC (NPI 1720046188) is a healthcare organization registered as a land transport in Warren, Michigan and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 6, 2028 and lists Kimberly Pate Godden, Vice President, as its authorized official.

NPPES Registry Identity

NPI1720046188

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameSUPERIOR AIR-GROUND AMBULANCE SERVICE OF MICHIGAN, INC

Location Address2000 CENTERWOOD DRWarren, MI 48091

Mailing Address395 W Lake StElmhurst, IL 60126-1508 · (630) 538-1887 · Fax (630) 903-2835

Phone(313) 832-8558

Organization SubpartNo

Authorized OfficialKimberly Pate GoddenVice President · (630) 903-2401

Enumeration DateMay 3, 2006

Last NPPES UpdateJuly 18, 2018

✔ NPI 1720046188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

License✔ Licensed in MI · 501040

Also ListedAmbulance · Air TransportTaxonomy 3416A0800X · License 501040 (MI)

2000 CENTERWOOD DR, Warren, MI 48091

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Other Identifiers 3

Other058738MI · Hap(health Alliance Plan)

Medicaid188077058MI

Other0E01788MI · Bluecross Blueshield

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1069398

Superior Air Ground Ambulance Service Of Michigan · Warren, MI

Active · expires Mar 6, 2028

CLIA Number23D1069398

Laboratory TypeAmbulance

Certificate Effective DateMarch 7, 2026

Certificate Expiration DateMarch 6, 2028

Laboratory DirectorHoward A. Klausner

Laboratory Phone(586) 443-7818

Laboratory LocationSuperior Air Ground Ambulance Service Of Michigan2000 Centerwood Drive, Warren, MI 48091

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425

Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.

184,446 services12,578 patients

Ambulance service, basic life support, non-emergency transport, (bls) A0428

Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.

16,729 services10,188 patients

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427

Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.

1,408 services1,253 patients

Ambulance service, basic life support, emergency transport (bls-emergency) A0429

Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.

1,285 services1,143 patients

Specialty care transport (sct) A0434

Specialty Care Transport (SCT) is a level of medical transport service for critically ill or injured patients. It involves healthcare professionals with advanced skills and equipment to provide continuous care during transport, ensuring patient's safety and well-being.

909 services762 patients

Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426

Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.

358 services319 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Superior Air-Ground Ambulance Service Of Michigan, Inc's NPI number?

The NPI number for Superior Air-Ground Ambulance Service Of Michigan, Inc is 1720046188. It was assigned to this organization in the NPPES registry on May 3, 2006.

Where is Superior Air-Ground Ambulance Service Of Michigan, Inc located?

Superior Air-Ground Ambulance Service Of Michigan, Inc is located at 2000 Centerwood Dr, Warren, MI 48091. The listed phone number is (313) 832-8558.

What is Superior Air-Ground Ambulance Service Of Michigan, Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Superior Air-Ground Ambulance Service Of Michigan, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1069398) is associated with this NPI, valid through March 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Superior Air-Ground Ambulance Service Of Michigan, Inc was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.