Great Lakes Net

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

GREAT LAKES NET

Practice address

25 68TH Ave N Ste E
Coopersville, MI 49404-9223

Phone

(616) 406-5310

NPI assigned

Jul 20, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Ryan D Cushman

Title

Manager

Phone

(616) 406-5310

Specialties & licenses 1

Addresses

Other names 1

• GREAT LAKES NET, LLC Other name

Locations

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1184304537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494010190",
            "telephone_number": "616-406-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 68TH AVE N STE E",
            "city": "COOPERSVILLE",
            "state": "MI",
            "postal_code": "494049223",
            "telephone_number": "616-406-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES NET",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "CUSHMAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "616-406-5310",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREAT LAKES NET, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elite Medical Associates, PLLC
• Sara Eskandari, DDS
• Emily Marie Fase, DPT
• Nicholas Arthur Feldpausch, PT
• Molly Gladding, CPHT
• Stephanie Hansma
• Hardman Medical PLLC
• Amy D Heathfield, OTR
• Krista Hilden
• Roger Holman, DO

• All providers in Coopersville, MI
• Non-emergency Medical Transport (VAN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.