Organization Active NPI

Whitewater Township

  • Ambulance
  • Williamsburg, MI
National Provider Identifier
1124107115
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
281008 Issued in MI
Legal business name
WHITEWATER TOWNSHIP
Practice address
8380 Old M-72
Williamsburg, MI 49690
Phone
(231) 267-5141
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Mrs. Carol Hockin
Title
Township Clerk
Phone
(231) 267-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 281008 MI Primary

Addresses

Primary practice location

8380 Old M-72
Williamsburg, MI 49690

Mailing address

PO Box 159
Williamsburg, MI 49690-0159
Phone (231) 267-5141

Other identifiers 2

IdentifierTypeStateIssuer
3004344MedicaidMI
590B800140OtherMIBLUE CROSS BLUE SHIELD

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
23D2175679Whitewater Township Fire Department8380 Old M 72, Williamsburg, MI 49690Certificate of waiverNov 25, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1124107115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "WILLIAMSBURG",
            "state": "MI",
            "postal_code": "496900159",
            "telephone_number": "231-267-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 OLD M-72",
            "city": "WILLIAMSBURG",
            "state": "MI",
            "postal_code": "49690",
            "telephone_number": "231-267-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEWATER TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "HOCKIN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "TOWNSHIP CLERK",
        "authorized_official_telephone_number": "231-267-5141",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "281008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004344",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "590B800140",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.