County of Luce

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

481001 Issued in MI

Legal business name

COUNTY OF LUCE

Practice address

910 Washington Blvd
Newberry, MI 49868-1713

Phone

(906) 293-8871

Fax

(906) 293-8536

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph SmithsonNPI 1770635427

Title

EMS Director

Phone

(906) 293-8871

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 2

• LUCE COUNTY AMBULANCE SERVICE Other name
• Luce County Advanced Life Support Service Other 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

Practitioners 1

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

• Joseph Philip Smithson, LMSW

  • Clinical Social Worker
  • Newberry, MI
  • NPI 1770635427
  NPD Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1477611978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WASHINGTON BLVD",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "498681713",
            "telephone_number": "906-293-8871",
            "fax_number": "906-293-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WASHINGTON BLVD",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "498681713",
            "telephone_number": "906-293-8871",
            "fax_number": "906-293-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LUCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "SMITHSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "906-293-8871",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "481001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3002635",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "690350436",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES",
            "identifier": "10571",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUCE COUNTY AMBULANCE SERVICE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Luce County Advanced Life Support Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brian Joseph Bezotte, LMSW
• Debra Ann Blemberg, LLMSW
• Blue Horizon
• Jessica Bufford
• Chippewa Dialysis Services
• Quin Curley
• Michelle Zang Curtis-Nutkins, LLP
• Brook Lynn Dake, FNP-C
• Derek James Dake, OD
• Dale W Muth OD PLLC

• All providers in Newberry, MI
• Land Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.