Township of Gerrish

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

341600000X Issued in MI

Legal business name

TOWNSHIP OF GERRISH

Practice address

2997 E Higgins Lake Dr
Roscommon, MI 48653-7622

Phone

(989) 821-9813

Fax

(989) 821-8627

NPI assigned

Jun 4, 2006

Last updated

Jan 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Fisher Jr.

Title

Fire Chief

Phone

(989) 821-9813

Specialties & licenses 1

Addresses

Other identifiers 2

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

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1508804055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2997 E HIGGINS LAKE DR",
            "city": "ROSCOMMON",
            "state": "MI",
            "postal_code": "486537622",
            "telephone_number": "989-821-9813",
            "fax_number": "989-821-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2997 E HIGGINS LAKE DR",
            "city": "ROSCOMMON",
            "state": "MI",
            "postal_code": "486537622",
            "telephone_number": "989-821-9813",
            "fax_number": "989-821-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF GERRISH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "989-821-9813",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "341600000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "590015182",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18-2877359",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tender Kare Connections LLC
• Timothy J Thornton, MD
• Charlene Anne Titchenell
• Jessica Tjapkes
• Township Board of South Branch (South Branch Township Fire & EMS)
• Township of Lyon Roscommon County (Lyon Township Fire Department)
• Angela Joan Vanderkarr, FNP-C
• Jeff Vanwormer, R. PH.
• Roberto Amponin Viguilla, M.D.
• Village Family Medicine PC

• Land Ambulance in Roscommon, MI
• Providers in Roscommon, MI by specialty
• Land Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.