Organization Active NPI

Township of Portage

  • Land Ambulance
  • Curtis, MI
National Provider Identifier
1619029980
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
491005 Issued in MI
Legal business name
TOWNSHIP OF PORTAGE
Practice address
W17361 Davis Street
Curtis, MI 49820-0070
Phone
(906) 586-3574
Fax
(906) 586-3360
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Authorized official

Name
Patricia Maclachlan
Title
Clerk
Phone
(906) 586-9522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 491005 MI Primary

Addresses

Primary practice location

W17361 Davis Street
Curtis, MI 49820-0070

Mailing address

PO Box 70
Curtis, MI 49820-0070
Phone (906) 586-9522

Other identifiers 2

IdentifierTypeStateIssuer
18-1804071MedicaidMI
590D90006OtherMIBLUE CROSS BLUE SHIELD OF MI

Other names 1

  • Portage Township Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081107000417 MI Part B Supplier - Ambulance Service Supplier 9133288988 Practice locations: Curtis, MI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1619029980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "CURTIS",
            "state": "MI",
            "postal_code": "498200070",
            "telephone_number": "906-586-9522",
            "fax_number": "906-586-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W17361 DAVIS STREET",
            "city": "CURTIS",
            "state": "MI",
            "postal_code": "498200070",
            "telephone_number": "906-586-3574",
            "fax_number": "906-586-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF PORTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "MACLACHLAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "906-586-9522"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "491005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18-1804071",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MI",
            "identifier": "590D90006",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portage Township Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Curtis, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.