Township of Denton Roscommon County

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWNSHIP OF DENTON ROSCOMMON COUNTY

Doing business as

DENTON TOWNSHIP AMBULANCE SERVICE

Practice address

1301 W West Branch Rd
Prudenville, MI 48651-9465

Phone

(989) 366-8083

Fax

(989) 366-6954

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Richard Dupon

Title

EMS Chief

Phone

(989) 366-8083

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DENTON TOWNSHIP AMBULANCE SERVICE 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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1275694622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17",
            "city": "OSSINEKE",
            "state": "MI",
            "postal_code": "497660017",
            "telephone_number": "989-464-4758",
            "fax_number": "989-419-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W WEST BRANCH RD",
            "city": "PRUDENVILLE",
            "state": "MI",
            "postal_code": "486519465",
            "telephone_number": "989-366-8083",
            "fax_number": "989-366-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF DENTON ROSCOMMON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "DUPON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "989-366-8083"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "721009",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590008104",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182595065",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTON TOWNSHIP AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shyanne Renee Taylor
• Amany Alaa Thabata
• Timothy Justin Therrien
• Levonda Tolliver
• Justin Torres
• Hillary Dinh Tran
• Jill Tyler
• Cara Nicole Uber
• Autumn Vanacker
• Lora Olivia Vanbuskirk

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.