Northeast Ingham Emergency Services Authority

Primary specialty

AmbulanceTaxonomy code 341600000X

License

331009 Issued in MI

Legal business name

NORTHEAST INGHAM EMERGENCY SERVICES AUTHORITY

Practice address

1296 W Grand River Ave
Williamston, MI 48895-9771

Phone

(517) 655-1383

Fax

(517) 655-9384

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

Michael J Yanz

Title

Director/Fire Chief

Phone

(517) 655-3384

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 2

• NIESA Doing business as
• Williamston Comm Fire Board Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723248000000",
    "number": "1447428313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 W GRAND RIVER AVE",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "488959771",
            "telephone_number": "517-655-1383",
            "fax_number": "517-655-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 W GRAND RIVER AVE",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "488959771",
            "telephone_number": "517-655-1383",
            "fax_number": "517-655-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST INGHAM EMERGENCY SERVICES AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A",
        "authorized_official_last_name": "YANZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR/FIRE CHIEF",
        "authorized_official_telephone_number": "517-655-3384"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "331009",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4070550",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P59230",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "81-09653",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "590C300150",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NIESA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Williamston Comm Fire Board",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lo Optical, LLC
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• Abigail Nash, LPC
• Allyson Patricia Nash, DC
• Norma Sell PLLC
• William Nowland, PT
• Mary Ellen O'Reilly, OT/L
• Carley Ostrander, MA, CCC-SLP
• Kevin Joseph Panasiewicz
• Prevos Family Markets LLC

• All providers in Williamston, MI
• Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.