Organization Active NPI

Township of Long Lake

  • Ambulance
  • Traverse City, MI
National Provider Identifier
1497412886
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
TOWNSHIP OF LONG LAKE
Practice address
8870 N Long Lake Rd
Traverse City, MI 49685-9622
Phone
(231) 946-2249
NPI assigned
Nov 21, 2021
Last updated
Apr 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Ms. Kimberly Kay Deleon
Title
Biller
Phone
(231) 421-3159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

8870 N Long Lake Rd
Traverse City, MI 49685-9622

Mailing address

8870 N Long Lake Rd
Traverse City, MI 49685-9622
Phone (231) 946-2249

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220504000642 MI Part B Supplier - Ambulance Service Supplier 3779970157 Practice locations: Traverse City, MI

National Provider Directory

National Provider Directory

Locations

8870 N Long Lake Rd
Traverse City, MI 49685
Phone (231) 946-2249

NPI Registry JSON

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

{
    "created_epoch": "1637452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1497412886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8870 N LONG LAKE RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496859622",
            "telephone_number": "231-946-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8870 N LONG LAKE RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496859622",
            "telephone_number": "231-946-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF LONG LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-21",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "231-421-3159",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.