North Alert EMS Ambulance Authority
Organization Active NPI Ambulance · Norway, MI
NPI 1154472090 · NPPES record last updated Oct 10, 2007
Key facts
- NPI
- 1154472090
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 221007 (MI)
- Legal business name
- NORTH ALERT EMS AMBULANCE AUTHORITY
- Practice address
- U S 2
Norway, MI 49870 - Phone
- (906) 563-9961
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Leonard Bal
- Title
- Chairman
- Phone
- (906) 563-5235
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040831000577 | MI | Part B Supplier - Ambulance Service Supplier | 1355316670 | Practice locations: Norway, MI |
National Provider Directory
Locations
915 Main St
Norway, MI 49870
Phone (906) 563-9771
1720 W US Highway 2
Norway, MI 49870
Phone (906) 563-9771
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 221007 | MI | Yes |
Addresses
Primary practice location
U S 2
Norway, MI 49870
Mailing address
PO Box 173
Norway, MI 49870-0173
Phone (906) 563-9961
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590B21001 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4610376 | Medicaid | MI |
Other providers in Norway, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2007. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.