Active NPI
Houghton Lake Ambulance Service
- Ambulance
- Houghton Lake, MI
National Provider Identifier
1306848783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 721010
- 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, 2012
- 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
- Mrs. Sheila Blessing
- Title
- Billing Manager
- Phone
- (989) 422-3312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060918000398 | MI | Part B Supplier - Ambulance Service Supplier | 0143225540 | Practice locations: Houghton Lake, MI |
National Provider Directory
National Provider DirectoryLocations
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.