Active NPI
County of Benzie
Doing business as Benzie County EMS
- Land Ambulance
- Beulah, MI
National Provider Identifier
1255419214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 101001
- Legal business name
- COUNTY OF BENZIE
- Doing business as
- Benzie County EMS
- Practice address
- 448 Court PL
Beulah, MI 49617-9518 - Phone
- (231) 882-0625
- Fax
- (231) 882-0033
- NPI assigned
- Nov 1, 2006
- Last updated
- Dec 10, 2012
- 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
- Mr. Chuck Clarke
- Title
- County Supervisor
- Phone
- (231) 882-0553
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 101001 | MI | Primary |
Addresses
Primary practice location
448 Court PL
Beulah, MI 49617-9518
Mailing address
448 Court Place
Beulah, MI 49617-9518
Phone (231) 882-0625
Other names 1
- BENZIE COUNTY EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050909000036 | MI | Part B Supplier - Ambulance Service Supplier | 2961434006 | Practice locations: Frankfort, MI; Beulah, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1037927 | Benzie County EMS | Certificate of waiver | Mar 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
1901 N Thompsonville Rd
Beulah, MI 49617
Phone (231) 325-0035
448 Court Pl
Beulah, MI 49617
Phone (231) 325-0035
225 Park Ave
Frankfort, MI 49635
Phone (231) 352-5924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355097600000",
"number": "1255419214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 COURT PLACE",
"city": "BEULAH",
"state": "MI",
"postal_code": "496179518",
"telephone_number": "231-882-0625",
"fax_number": "231-882-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "448 COURT PL",
"city": "BEULAH",
"state": "MI",
"postal_code": "496179518",
"telephone_number": "231-882-0625",
"fax_number": "231-882-0033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF BENZIE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2012-12-10",
"status": "A",
"authorized_official_last_name": "CLARKE",
"authorized_official_first_name": "CHUCK",
"authorized_official_title_or_position": "COUNTY SUPERVISOR",
"authorized_official_telephone_number": "231-882-0553",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MI",
"license": "101001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BENZIE COUNTY EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beulah, MI
- Abramson Family Dentistry PLLC (Marc Abramson DDS)
- Marc Aaron Abramson, DDS
- Lee Patrick Belanger, D.C.
- Benzie Community Services (Benzie Home Health Care)
- Beulah Family Dentistry , PLLC (North Pine Family Dentistry)
- Amy Joy Eady, NP-C
- Anna Maria Feala
- Frank Langer, PH.D., P.C. (Frank Langer, Ph.D)
- Frankfort Family Care
- Jan L Gulliver-Kline, LMSW ACSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.