Organization Active NPI

Township of Paradise

  • Land Ambulance
  • Kingsley, MI
National Provider Identifier
1700385994
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWNSHIP OF PARADISE
Practice address
2300 E M 113
Kingsley, MI 49649-9370
Phone
(231) 263-5251
NPI assigned
Feb 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Mr. Eric Alan Somsel
Title
Director
Phone
(231) 276-9354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X MI Primary

Addresses

Primary practice location

2300 E M 113
Kingsley, MI 49649-9370

Mailing address

2300 E M 113
Kingsley, MI 49649-9370
Phone (231) 263-5251

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180405000222 MI Part B Supplier - Ambulance Service Supplier 0143583112 Practice locations: Kingsley, MI

National Provider Directory

National Provider Directory

Locations

2300 E M 113
Kingsley, MI 49649
Phone (231) 263-5251

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1700385994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E M 113",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499370",
            "telephone_number": "231-263-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E M 113",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499370",
            "telephone_number": "231-263-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF PARADISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "SOMSEL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "231-276-9354",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.