Northern Bay Ambulance and Rescue Service of Michigan

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

NORTHERN BAY AMBULANCE AND RESCUE SERVICE OF MICHIGAN

Doing business as

Northern Bay Ambulance

Practice address

325 S. Libby St
Pinconning, MI 48650-8400

Phone

(810) 853-3682

Fax

(989) 879-2220

NPI assigned

Jan 10, 2007

Last updated

Feb 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Lee Boss

Title

Acting Director

Phone

(810) 853-3682

Specialties & licenses 2

Addresses

Other names 1

• Northern Bay Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1720137201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2122",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481931122",
            "telephone_number": "734-224-4474",
            "fax_number": "734-479-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S. LIBBY ST",
            "city": "PINCONNING",
            "state": "MI",
            "postal_code": "486508400",
            "telephone_number": "810-853-3682",
            "fax_number": "989-879-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN BAY AMBULANCE AND RESCUE SERVICE OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "BOSS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ACTING DIRECTOR",
        "authorized_official_telephone_number": "810-853-3682"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "091002",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Bay Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Marie Merso
• Rhonda Renee Mesecar, LPN
• Carissa Meyers, D.C.
• Christy Sue Morand, MA, LPC
• Tammy Marie Neely, C. PED., COA
• Randy J O'Laughlin, D.D.S.
• Michelle Marie Pickvet
• Pinconning Area Chiropractic Center Inc
• Pinconning Family Eye Care PC
• Pinconning Medical Center P.C.

• Land Ambulance in Pinconning, MI
• Providers in Pinconning, MI by specialty
• Land Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.