Active NPI
Township of Forsyth
- Intermediate Emergency Medical Technician
- Gwinn, MI
National Provider Identifier
1700815636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intermediate Emergency Medical Technician
- License
- 521001
- Legal business name
- TOWNSHIP OF FORSYTH
- Practice address
- 186 W Flint St
Gwinn, MI 49841-9572 - Phone
- (906) 346-9217
- Fax
- (906) 346-3267
- NPI assigned
- Jul 2, 2006
- Last updated
- Apr 10, 2012
- 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
- Mr. Joseph E. Minelli
- Title
- Township Supervisor
- Phone
- (906) 346-9217
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | 521001 | MI | Primary |
Addresses
Primary practice location
186 W Flint St
Gwinn, MI 49841-9572
Mailing address
186 W Flint St
P.O. Box 1360
Gwinn, MI 49841-9572
Phone (906) 346-9217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120503000066 | MI | Part B Supplier - Ambulance Service Supplier | 0547422842 | Practice locations: Gwinn, MI |
National Provider Directory
National Provider DirectoryLocations
47 N Johnson Lake Rd
Gwinn, MI 49841
Phone (906) 346-9217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334016000000",
"number": "1700815636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 W FLINT ST",
"address_2": "P.O. BOX 1360",
"city": "GWINN",
"state": "MI",
"postal_code": "498419572",
"telephone_number": "906-346-9217",
"fax_number": "906-346-3267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 W FLINT ST",
"city": "GWINN",
"state": "MI",
"postal_code": "498419572",
"telephone_number": "906-346-9217",
"fax_number": "906-346-3267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWNSHIP OF FORSYTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2012-04-10",
"status": "A",
"authorized_official_last_name": "MINELLI",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "TOWNSHIP SUPERVISOR",
"authorized_official_telephone_number": "906-346-9217",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "MI",
"license": "521001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gwinn, MI
- Raymelle M. Schoos, M.D.
- David K Sorensen
- Rell Drake Spickerman
- Emily Starr, NP-C
- Kimberley Ann Suhanic, D.O.
- Autumn M Trudeau, NP
- Upper Great Lakes Family Health Center (Gwinn Family Health Center)
- Upper Great Lakes Family Health Center
- Upper Great Lakes Family Health Center (Menominee Family Health Center)
- Upper Great Lakes Family Health Center (Sawyer Family Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.