Active NPI
Elmwood Charter Township
- Land Ambulance
- Traverse City, MI
National Provider Identifier
1467904565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 451007
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170726002182 | MI | Part B Supplier - Ambulance Service Supplier | 2961772777 | Practice locations: Traverse City, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1040618 | Elmwood TWP Fire Rescue | Certificate of waiver | May 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Traverse City, MI
- NPI 1033253059
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.