Town of Republic

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF REPUBLIC

Practice address

9610 State Hwy M95
Republic, MI 49879

Phone

(906) 376-8827

Fax

(906) 376-2383

NPI assigned

Nov 8, 2006

Last updated

Jan 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori A Burton

Title

Office Manager

Phone

(906) 376-8827

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1255401410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "REPUBLIC",
            "state": "MI",
            "postal_code": "498790338",
            "telephone_number": "906-376-8827",
            "fax_number": "906-376-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9610 STATE HWY M95",
            "city": "REPUBLIC",
            "state": "MI",
            "postal_code": "49879",
            "telephone_number": "906-376-8827",
            "fax_number": "906-376-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF REPUBLIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "906-376-8827"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004406",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Orthotics LLC
• Tara Fleis, LLPC
• Jon Richard Tapio, BOC ORTHOTIST

• Land Ambulance in Republic, MI
• Providers in Republic, MI by specialty
• Land Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.