Organization Active NPI

Houghton Lake Ambulance Service

  • Ambulance
  • Houghton Lake, MI
National Provider Identifier
1306848783
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
721010 Issued in MI
Legal business name
HOUGHTON LAKE AMBULANCE SERVICE
Practice address
9166 W Lake City Rd.
Houghton Lake, MI 48629
Phone
(989) 422-3312
Fax
(989) 422-6145
NPI assigned
Aug 15, 2005
Last updated
May 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Mrs. Sheila Blessing
Title
Billing Manager
Phone
(989) 422-3312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 721010 MI Primary

Addresses

Primary practice location

9166 W Lake City Rd.
Houghton Lake, MI 48629

Mailing address

PO Box 746
Houghton Lake, MI 48629-0746
Phone (989) 422-3312

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060918000398 MI Part B Supplier - Ambulance Service Supplier 0143225540 Practice locations: Houghton Lake, MI

National Provider Directory

National Provider Directory

Locations

214 Health Pkwy
Houghton Lake, MI 48629
Phone (989) 422-3312

9166 W Lake City Rd
Houghton Lake, MI 48629
Phone (989) 422-3312

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1306848783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746",
            "city": "HOUGHTON LAKE",
            "state": "MI",
            "postal_code": "486290746",
            "telephone_number": "989-422-3312",
            "fax_number": "989-422-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9166 W LAKE CITY RD.",
            "city": "HOUGHTON LAKE",
            "state": "MI",
            "postal_code": "48629",
            "telephone_number": "989-422-3312",
            "fax_number": "989-422-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUGHTON LAKE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "BLESSING",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "989-422-3312",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "721010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houghton Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.