County of Montcalm
Organization Active NPI Land Ambulance · Stanton, MI
NPI 1497790109 · NPPES record last updated Sep 28, 2007
Key facts
- NPI
- 1497790109
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 591001 (MI)
- Legal business name
- COUNTY OF MONTCALM
- Practice address
- 655 N State St
Stanton, MI 48888-9702 - Phone
- (989) 831-7580
- Fax
- (989) 831-3535
- NPI assigned
- Jun 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Dave D Feldpausch, CCP, EMTP, PEM
- Title
- Director
- Phone
- (989) 831-7583
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0911673 | Montcalm County Emergency Services | Certificate of waiver | Feb 12, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120430000754 | MI | Part B Supplier - Ambulance Service Supplier | 8022270578 | Practice locations: Stanton, MI |
National Provider Directory
Locations
655 N State St
Stanton, MI 48888
Phone (989) 831-7580
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 591001 | MI | Yes |
Addresses
Primary practice location
655 N State St
Stanton, MI 48888-9702
Mailing address
211 W Main St
PO Box 368
Stanton, MI 48888-9690
Phone (989) 831-7580
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3003454 | Medicaid | MI |
Other names
- MONTCALM COUNTY EMERGENCY SERVICES
Other providers in Stanton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.