Faithorn Rescue Squad

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

869309 Issued in MI

Legal business name

FAITHORN RESCUE SQUAD

Practice address

W8601 Blum Rd
Vulcan, MI 49892-9635

Phone

(906) 438-2243

NPI assigned

Oct 30, 2014

Organization subpart

No

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

Authorized official

Name

Susan K Devoe

Title

Treasurer

Phone

(906) 438-2243

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1740685809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W8601 BLUM RD",
            "city": "VULCAN",
            "state": "MI",
            "postal_code": "498929635",
            "telephone_number": "906-438-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W8601 BLUM RD",
            "city": "VULCAN",
            "state": "MI",
            "postal_code": "498929635",
            "telephone_number": "906-438-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHORN RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "DEVOE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "906-438-2243"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "869309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467434258",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Bogaudo, PHARM D
• Cheryl Lynn Carlson, P.T.
• Carolyn Faith Clay-Pineda, P.T.
• Faithorn Rescue Squad
• Great Lakes Independent Eyecare Network LLC
• In Home Rehab of Dickinson County
• Northern Lights Home Health Inc.
• Joshua David Schaefer, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.