Organization Active NPI

Elmwood Charter Township

  • Land Ambulance
  • Traverse City, MI
National Provider Identifier
1467904565
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
451007 Issued in MI
Legal business name
ELMWOOD CHARTER TOWNSHIP
Practice address
10090 E Lincoln Rd
Traverse City, MI 49684-8487
Phone
(231) 946-0921
Fax
(231) 946-9320
NPI assigned
Oct 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Mr. Keith Allen Tampa
Title
Fire Chief
Phone
(231) 946-0921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 451007 MI Primary

Addresses

Primary practice location

10090 E Lincoln Rd
Traverse City, MI 49684-8487

Mailing address

10090 E Lincoln Rd
Traverse City, MI 49684-8487
Phone (231) 946-0921

Other names 1

  • ELMWOOD TWP FIRE RESCUE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170726002182 MI Part B Supplier - Ambulance Service Supplier 2961772777 Practice locations: Traverse City, MI

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1040618Elmwood TWP Fire Rescue10090 E Lincoln Road, Traverse City, MI 49684Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory

Locations

10090 E Lincoln Rd
Traverse City, MI 49684
Phone (231) 946-0921

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1467904565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10090 E LINCOLN RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848487",
            "telephone_number": "231-946-0921",
            "fax_number": "336-510-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10090 E LINCOLN RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848487",
            "telephone_number": "231-946-0921",
            "fax_number": "231-946-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMWOOD CHARTER TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "TAMPA",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "231-946-0921",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "451007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELMWOOD TWP FIRE RESCUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.