Active NPI
Township of Portage
- Land Ambulance
- Curtis, MI
National Provider Identifier
1619029980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 491005
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18-1804071 | Medicaid | MI | |
| 590D90006 | Other | MI | BLUE CROSS BLUE SHIELD OF MI |
Other names 1
- Portage Township Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081107000417 | MI | Part B Supplier - Ambulance Service Supplier | 9133288988 | Practice locations: Curtis, MI |
National Provider Directory
National Provider DirectoryNPI 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.