Organization Active NPI

Twin Township Ambulance, Inc.

  • Land Ambulance
  • New Lothrop, MI
National Provider Identifier
1063423473
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
781007 Issued in MI
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
71020000G80017OtherMIBLUE CROSS BLUE SHIELD
3004513MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081222000259 MI Part B Supplier - Ambulance Service Supplier 0345302683 Practice locations: New Lothrop, MI

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1019739Twin Township Ambulance Inc7900 Saginaw Street, New Lothrop, MI 48460Certificate of waiverNov 25, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.