Organization Active NPI

Onaway Area Ambulance Service

  • Land Ambulance
  • Onaway, MI
National Provider Identifier
1689777237
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
711002 Issued in MI
Legal business name
ONAWAY AREA AMBULANCE SERVICE
Practice address
20734 Industrial Park
Onaway, MI 49765
Phone
(989) 733-4166
Fax
(989) 733-8020
NPI assigned
Sep 7, 2006
Last updated
Mar 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Ms. Connie Cleary
Title
Director of Billing
Phone
(517) 318-3756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 711002 MI Primary

Addresses

Primary practice location

20734 Industrial Park
Onaway, MI 49765

Mailing address

PO Box 454
Onaway, MI 49765-0454
Phone (989) 733-4166

Other identifiers 1

IdentifierTypeStateIssuer
3156865MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120418000108 MI Part B Supplier - Ambulance Service Supplier 8527229541 Practice locations: Onaway, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2121479Onaway Area Ambulance Service20734 Industrial Park Drive, Onaway, MI 49765Certificate of waiverNov 6, 2026

National Provider Directory

National Provider Directory

Locations

20734 Industrial Dr
Onaway, MI 49765
Phone (517) 733-4166

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1689777237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 454",
            "city": "ONAWAY",
            "state": "MI",
            "postal_code": "497650454",
            "telephone_number": "989-733-4166",
            "fax_number": "989-733-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20734 INDUSTRIAL PARK",
            "city": "ONAWAY",
            "state": "MI",
            "postal_code": "49765",
            "telephone_number": "989-733-4166",
            "fax_number": "989-733-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONAWAY AREA AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "CLEARY",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "517-318-3756",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "711002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3156865",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Onaway, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.