Organization Active NPI

City of Sault Ste Marie

  • Ambulance
  • Sault Sainte Marie, MI
National Provider Identifier
1285706200
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
SA084416 Issued in MI
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

Updated by the provider on Nov 10, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3001718MedicaidMI

Other names 1

  • Sault Ste Marie Fire Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050301000904 MI Part B Supplier - Ambulance Service Supplier 3274586284 Practice locations: Sault Sainte Marie, MI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.