Organization Active NPI

Township of Forsyth

  • Intermediate Emergency Medical Technician
  • Gwinn, MI
National Provider Identifier
1700815636
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X
License
521001 Issued in MI
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20120503000066 MI Part B Supplier - Ambulance Service Supplier 0547422842 Practice locations: Gwinn, MI

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.