County of Benzie

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

101001 Issued in MI

Legal business name

COUNTY OF BENZIE

Practice address

448 Court PL
Beulah, MI 49617-9518

Phone

(231) 882-0625

Fax

(231) 882-0033

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Addresses

Other identifiers 3

Other names 1

• BENZIE COUNTY EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3003187",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "590A000030",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590058442",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BENZIE COUNTY EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abramson Family Dentistry PLLC
• Marc Aaron Abramson, DDS
• Lee Patrick Belanger, D.C.
• Benzie Community Services
• Beulah Family Dentistry , PLLC
• Amy Joy Eady, NP-C
• Anna Maria Feala
• Frank Langer, PH.D., P.C.
• Frankfort Family Care
• Jan L Gulliver-Kline, LMSW ACSW

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

• 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.

Verify at the official NPI Registry.