Faithorn Rescue Squad

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

085428 Issued in MI

Legal business name

FAITHORN RESCUE SQUAD

Practice address

N15705 County Road 577
Vulcan, MI 49892-9517

Phone

(906) 438-2341

NPI assigned

Nov 16, 2005

Organization subpart

No

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

Authorized official

Name

Jeff Gagne, EMT

Title

Treasurer

Phone

(906) 438-2252

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467434258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N14020 COUNTY ROAD 577",
            "city": "VULCAN",
            "state": "MI",
            "postal_code": "498929656",
            "telephone_number": "906-438-2252",
            "fax_number": "906-438-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N15705 COUNTY ROAD 577",
            "city": "VULCAN",
            "state": "MI",
            "postal_code": "498929517",
            "telephone_number": "906-438-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHORN RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAGNE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "906-438-2252",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MI",
            "license": "085428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3005421",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Bogaudo, PHARM D
• Cheryl Lynn Carlson, P.T.
• Carolyn Faith Clay-Pineda, P.T.
• Faithorn Rescue Squad
• Great Lakes Independent Eyecare Network LLC
• In Home Rehab of Dickinson County
• Northern Lights Home Health Inc.
• Joshua David Schaefer, LMT

• Voluntary or Charitable Agency in Vulcan, MI
• Providers in Vulcan, MI by specialty
• Voluntary or Charitable Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.