City of Manistee
Organization Active NPI Land Ambulance · Manistee, MI
NPI 1023325388 · NPPES record last updated Mar 28, 2024
Key facts
- NPI
- 1023325388
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 511005 (MI)
- Legal business name
- CITY OF MANISTEE
- Practice address
- 281 First St
Manistee, MI 49660-1755 - Phone
- (231) 723-1549
- Fax
- (231) 723-3519
- NPI assigned
- Sep 8, 2010
- Organization subpart
- No
Authorized official
- Name
- Tom Hernden
- Title
- Fire Chief
- Phone
- (231) 723-1549
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1047030 | Manistee City Fire Department | Certificate of waiver | Oct 24, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110304000800 | MI | Part B Supplier - Ambulance Service Supplier | 9234311796 | Practice locations: Manistee, MI |
National Provider Directory
Locations
281 1st St
#F
Manistee, MI 49660
Phone (231) 723-1549
281 1st St
Manistee, MI 49660
Phone (231) 723-1549
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 511005 | MI | Yes |
Addresses
Primary practice location
281 First St
Manistee, MI 49660-1755
Mailing address
PO Box 2122
Riverview, MI 48193-1122
Phone (734) 479-6300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0E10018 | Other | MI | BCBSM |
Other names
- Manistee City FD/Rescue Squad
Other providers in Manistee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.