Organization Active NPI

Greater Iron County EMS, Inc.

  • Land Ambulance
  • Iron River, MI
National Provider Identifier
1366499170
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
361001 Issued in MI
Legal business name
GREATER IRON COUNTY EMS, INC.
Practice address
1400 W Ice Lake Rd
Iron River, MI 49935-9526
Phone
(906) 265-0436
Fax
(906) 265-2033
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Glen Dobson
Title
Cfo
Phone
(906) 265-0436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 361001 MI Primary

Addresses

Primary practice location

1400 W Ice Lake Rd
Iron River, MI 49935-9526

Mailing address

828 Sheridan Rd
Escanaba, MI 49829-1531
Phone (906) 786-2051

Other identifiers 3

IdentifierTypeStateIssuer
590C60001OtherMIBCBS PROVIDER NUMBER
81932900MedicaidWI
4156350MedicaidMI

National Provider Directory

National Provider Directory

Locations

212 S 3rd St
Crystal Falls, MI 49920
Phone (906) 875-6661

828 Sheridan Rd
Escanaba, MI 49829
Phone (906) 786-2051

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366499170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 SHERIDAN RD",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291531",
            "telephone_number": "906-786-2051",
            "fax_number": "906-786-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W ICE LAKE RD",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499359526",
            "telephone_number": "906-265-0436",
            "fax_number": "906-265-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER IRON COUNTY EMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOBSON",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "906-265-0436",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "361001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "590C60001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81932900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4156350",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron River, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.