Active NPI
City of Sault Ste Marie
- Ambulance
- Sault Sainte Marie, MI
National Provider Identifier
1285706200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- SA084416
- Legal business name
- CITY OF SAULT STE MARIE
- Practice address
- 125 Ridge St
Sault Sainte Marie, MI 49783-1923 - Phone
- (906) 632-2226
- NPI assigned
- Nov 14, 2006
- 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
- Edwin Lawrence Miller
- Title
- Fire Chief
- Phone
- (906) 632-2226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | SA084416 | MI | Primary |
Addresses
Primary practice location
125 Ridge St
Sault Sainte Marie, MI 49783-1923
Mailing address
125 Ridge St
Sault Sainte Marie, MI 49783-1923
Phone (906) 632-2226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3001718 | Medicaid | MI |
Other names 1
- Sault Ste Marie Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050301000904 | MI | Part B Supplier - Ambulance Service Supplier | 3274586284 | Practice locations: Sault Sainte Marie, MI |
National Provider Directory
National Provider DirectoryLocations
123 Ridge St
Sault Sainte Marie, MI 49783
Phone 90663222263
225 E Portage Ave
Sault Sainte Marie, MI 49783
325 Court St
Sault Sainte Marie, MI 49783
125 Ridge St
Sault South Marie, MI 49783
Phone (906) 632-2226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668038400000",
"number": "1285706200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 RIDGE ST",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497831923",
"telephone_number": "906-632-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 RIDGE ST",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497831923",
"telephone_number": "906-632-2226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF SAULT STE MARIE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "EDWIN",
"authorized_official_middle_name": "LAWRENCE",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "906-632-2226"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MI",
"license": "SA084416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3001718",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sault Ste Marie Fire Department",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sault Ste Marie Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sault Sainte Marie, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.