Active NPI
Suttons Bay-Bingham Fire & Rescue Authority
- Land Ambulance
- Suttons Bay, MI
National Provider Identifier
1558301226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 451005
- Legal business name
- SUTTONS BAY-BINGHAM FIRE & RESCUE AUTHORITY
- Practice address
- 201 S. St Marys Ave
Suttons Bay, MI 49682 - Phone
- (231) 271-6978
- Fax
- (231) 271-5742
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Porter
- Title
- Fire Chief
- Phone
- (231) 271-6978
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 451005 | MI | |
| Land Ambulance | 3416L0300X | 451005 | MI | Primary |
Addresses
Primary practice location
201 S. St Marys Ave
Suttons Bay, MI 49682
Mailing address
PO Box 2122
Riverview, MI 48193-1122
Phone (734) 479-6300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590D510190 | Other | MI | BCBSM |
| 2741950 | Medicaid | MI | |
| 184945752 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061130000197 | MI | Part B Supplier - Ambulance Service Supplier | 1456359447 | Practice locations: Suttons Bay, MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1558301226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2122",
"city": "RIVERVIEW",
"state": "MI",
"postal_code": "481931122",
"telephone_number": "734-479-6300",
"fax_number": "734-479-6319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S. ST MARYS AVE",
"city": "SUTTONS BAY",
"state": "MI",
"postal_code": "49682",
"telephone_number": "231-271-6978",
"fax_number": "231-271-5742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTTONS BAY-BINGHAM FIRE & RESCUE AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "231-271-6978"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MI",
"license": "451005",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MI",
"license": "451005",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "590D510190",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2741950",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "184945752",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Suttons Bay, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.