City of Sturgis

Primary specialty

ParamedicTaxonomy code 146L00000X

License

751008 Issued in MI

Legal business name

CITY OF STURGIS

Practice address

124 N Nottawa St
Sturgis, MI 49091-1433

Phone

(269) 625-0844

Fax

(269) 659-7203

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Ryan Banaszak

Title

Director

Phone

(269) 659-7236

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sturgis Department of Public Safety Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1386670933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N NOTTAWA ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911433",
            "telephone_number": "269-625-0844",
            "fax_number": "269-659-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N NOTTAWA ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911433",
            "telephone_number": "269-625-0844",
            "fax_number": "269-659-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF STURGIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "BANASZAK",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "269-659-7236"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "MI",
            "license": "751008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4613215",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sturgis Department of Public Safety",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Timothy Carmichael
• Vicki Rae Caron, LPN
• Center for Health and Wellness of Sturgis PC
• Robert Norman Chartrand, PTA
• Kiera Lynn Chatfield
• Sarah E Clark
• Sarah Ruth Clark, RD
• Sharon Rose Clark, R.N.C.,C.N.M.
• Taylor N Cline
• Community Healing Center

• Paramedic in Sturgis, MI
• Providers in Sturgis, MI by specialty
• Paramedic in Michigan

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