Coldsprings-Excelsior Vounteer Fire & Rescue Dept

Primary specialty

AmbulanceTaxonomy code 341600000X

License

401002 Issued in MI

Legal business name

COLDSPRINGS-EXCELSIOR VOUNTEER FIRE & RESCUE DEPT

Practice address

6565 County Road 612 NE
Kalkaska, MI 49646-9530

Phone

(231) 258-2107

NPI assigned

Jul 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Wiita

Title

Assistant Chief

Phone

(231) 258-2107

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1003837014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2122",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481931122",
            "telephone_number": "734-479-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 COUNTY ROAD 612 NE",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496469530",
            "telephone_number": "231-258-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLDSPRINGS-EXCELSIOR VOUNTEER FIRE & RESCUE DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "WIITA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "231-258-2107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "401002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184753931",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Casey, DO
• Taylor Chaulk
• Hanna Cho
• Julie Clark, AFC LICENSEE
• Vern Coan, LPN
• Andrew Scott Cole, MD
• Comai Afc
• Eric Covert, PA-C
• Lawrence Czubak
• Dan F. Soenen, D.D.S., P.C.

• All providers in Kalkaska, MI
• Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.