Organization Active NPI

Greater Lakes Transportation

  • Non-emergency Medical Transport (VAN)
  • Pontiac, MI
National Provider Identifier
1114154978
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GREATER LAKES TRANSPORTATION
Practice address
53 1/2 W Huron St
Suite #221
Pontiac, MI 48342-2121
Phone
(248) 456-0738
Fax
(248) 456-0739
NPI assigned
Jun 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Mr. Reginald J. Watkins
Title
General Manager
Phone
(248) 456-0738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X MI Primary

Addresses

Primary practice location

53 1/2 W Huron St
Suite #221
Pontiac, MI 48342-2121

Mailing address

53 1/2 W Huron St
Suite #221
Pontiac, MI 48342-2121
Phone (248) 456-0738

National Provider Directory

National Provider Directory

Locations

53 W Huron St
Ste 221
Pontiac, MI 48342
Phone (248) 456-0738

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1114154978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 1/2 W HURON ST",
            "address_2": "SUITE #221",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422121",
            "telephone_number": "248-456-0738",
            "fax_number": "248-456-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 1/2 W HURON ST",
            "address_2": "SUITE #221",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422121",
            "telephone_number": "248-456-0738",
            "fax_number": "248-456-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LAKES TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "248-456-0738",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.