Active NPI
Township of Powell
- Land Ambulance
- Big Bay, MI
National Provider Identifier
1194853580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 521004
- Legal business name
- TOWNSHIP OF POWELL
- Practice address
- 101 Bensinger Rd
Big Bay, MI 49808 - Phone
- (906) 361-0598
- NPI assigned
- Feb 28, 2007
- Last updated
- Oct 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Bourgeois
- Title
- Director
- Phone
- (906) 362-7275
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 521004 | MI | Primary |
Addresses
Primary practice location
101 Bensinger Rd
Big Bay, MI 49808
Mailing address
PO Box 415
Escanaba, MI 49829-0415
Phone (906) 786-2051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3005127 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050223000484 | MI | Part B Supplier - Ambulance Service Supplier | 5294788873 | Practice locations: Big Bay, MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1194853580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498290415",
"telephone_number": "906-786-2051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BENSINGER RD",
"city": "BIG BAY",
"state": "MI",
"postal_code": "49808",
"telephone_number": "906-361-0598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWNSHIP OF POWELL",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A",
"authorized_official_last_name": "BOURGEOIS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "906-362-7275"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MI",
"license": "521004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3005127",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Big Bay, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.