Township of Blair
Organization Active NPI Land Ambulance · Grawn, MI
NPI 1447339411 · NPPES record last updated Feb 29, 2012
Key facts
- NPI
- 1447339411
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 281004 (MI)
- Legal business name
- TOWNSHIP OF BLAIR
- Practice address
- 2121 Co Rd 633
Grawn, MI 49637-9406 - Phone
- (231) 276-9263
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Patrick Pahl
- Title
- Township Supervisor
- Phone
- (231) 276-9263
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120229000799 | MI | Part B Supplier - Ambulance Service Supplier | 2668630195 | Practice locations: Traverse City, MI |
National Provider Directory
Locations
2121 County Road 633
Grawn, MI 49637
Phone (231) 276-9263
1702 S M 37
Traverse City, MI 49685
Phone (231) 276-9354
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 281004 | MI | Yes |
Addresses
Primary practice location
2121 Co Rd 633
Grawn, MI 49637-9406
Mailing address
2121 Co Rd 633
Grawn, MI 49637-9406
Phone (231) 276-9263
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590B800060 | Other | MI | BLUE CROSS BLUE SHIELD |
| 3106667 | Medicaid | MI |
Other providers in Grawn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.