Organization Active NPI

Township of Almira

  • Land Ambulance
  • Lake Ann, MI
National Provider Identifier
1396822714
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
101004 Issued in MI
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

Updated by the provider on May 14, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2779895MedicaidMI
590A000570OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130408000157 MI Part B Supplier - Ambulance Service Supplier 3173768538 Practice locations: Lake Ann, MI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.