Active NPI
Township of Almira
- Land Ambulance
- Lake Ann, MI
National Provider Identifier
1396822714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 101004
- Legal business name
- TOWNSHIP OF ALMIRA
- Practice address
- 7276 Ole White Dr
Lake Ann, MI 49650-9617 - Phone
- (231) 275-5862
- NPI assigned
- Nov 1, 2006
- 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
- Mary Dort
- Title
- Township Clerk
- Phone
- (231) 275-5862
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 101004 | MI | Primary |
Addresses
Primary practice location
7276 Ole White Dr
Lake Ann, MI 49650-9617
Mailing address
7276 Ole White Dr
Lake Ann, MI 49650-9617
Phone (231) 275-5862
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2779895 | Medicaid | MI | |
| 590A000570 | Other | MI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130408000157 | MI | Part B Supplier - Ambulance Service Supplier | 3173768538 | Practice locations: Lake Ann, MI |
National Provider Directory
National Provider DirectoryLocations
7276 Ole White Dr
Lake Ann, MI 49650
Phone (231) 275-5862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336953600000",
"number": "1396822714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7276 OLE WHITE DR",
"city": "LAKE ANN",
"state": "MI",
"postal_code": "496509617",
"telephone_number": "231-275-5862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7276 OLE WHITE DR",
"city": "LAKE ANN",
"state": "MI",
"postal_code": "496509617",
"telephone_number": "231-275-5862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWNSHIP OF ALMIRA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2012-05-14",
"status": "A",
"authorized_official_last_name": "DORT",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "TOWNSHIP CLERK",
"authorized_official_telephone_number": "231-275-5862"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MI",
"license": "101004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2779895",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "590A000570",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Ann, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.