Active NPI
Twin Township Ambulance, Inc.
- Land Ambulance
- New Lothrop, MI
National Provider Identifier
1063423473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 781007
- Legal business name
- TWIN TOWNSHIP AMBULANCE, INC.
- Practice address
- 7900 Saginaw St
New Lothrop, MI 48460-9688 - Phone
- (810) 638-5034
- NPI assigned
- Aug 10, 2006
- Last updated
- May 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline J Henige
- Title
- Billing Specialist
- Phone
- (810) 634-1001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 781007 | MI | Primary |
Addresses
Primary practice location
7900 Saginaw St
New Lothrop, MI 48460-9688
Mailing address
7900 Saginaw St
P.O. Box 303
New Lothrop, MI 48460
Phone (810) 634-1001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71020000G80017 | Other | MI | BLUE CROSS BLUE SHIELD |
| 3004513 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081222000259 | MI | Part B Supplier - Ambulance Service Supplier | 0345302683 | Practice locations: New Lothrop, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1019739 | Twin Township Ambulance Inc | Certificate of waiver | Nov 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
288 E State St
Montrose, MI 48457
Phone (810) 634-1001
7900 S Saginaw St
New Lothrop, MI 48460
Phone (313) 638-5034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653350400000",
"number": "1063423473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 SAGINAW ST",
"address_2": "P.O. BOX 303",
"city": "NEW LOTHROP",
"state": "MI",
"postal_code": "48460",
"telephone_number": "810-634-1001",
"fax_number": "810-638-7424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 SAGINAW ST",
"city": "NEW LOTHROP",
"state": "MI",
"postal_code": "484609688",
"telephone_number": "810-638-5034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWIN TOWNSHIP AMBULANCE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A",
"authorized_official_last_name": "HENIGE",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "BILLING SPECIALIST",
"authorized_official_telephone_number": "810-634-1001"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MI",
"license": "781007",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "71020000G80017",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3004513",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Lothrop, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.