Potterville Benton Township Fire

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

231002 Issued in MI

Legal business name

POTTERVILLE BENTON TOWNSHIP FIRE

Practice address

4713 Hartel Rd
Potterville, MI 48876-9702

Phone

(517) 231-3653

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Jack Fox

Title

Fire Chief

Phone

(517) 231-3653

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Cheryl Annette Smith

  • Professional Counselor
  • Lansing, MI
  • NPI 1174182141
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508808106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 LAKE LANSING RD",
            "address_2": "SUITE 100",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123798",
            "telephone_number": "517-485-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4713 HARTEL RD",
            "city": "POTTERVILLE",
            "state": "MI",
            "postal_code": "488769702",
            "telephone_number": "517-231-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTERVILLE BENTON TOWNSHIP FIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "517-231-3653"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "231002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3003310",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "590B30011",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie McDowell, NP-C
• Mid Michigan General Dentistry
• Marissa Anne Miller, D.O.
• Hannah Myers-Southerly
• Kristine Kay Peterson, P.T.A
• Melissa M Ridge, LLPC
• Isaiah Robles
• Jessica Ann Rosenbrook, LPC
• Vicki Roush, MA, LLP, LLPC
• Angela Schmalbach, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.