Organization Active NPI

County of Alcona

  • Ambulance
  • Harrisville, MI
National Provider Identifier
1760427132
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
011001 Issued in MI
Legal business name
COUNTY OF ALCONA
Practice address
2600 E M 72
Harrisville, MI 48740-9715
Phone
(989) 736-3955
Fax
(989) 736-8126
NPI assigned
Jun 18, 2006
Last updated
Mar 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Ms. Kristin Hoffman
Title
Director
Phone
(989) 736-3955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 011001 MI Primary

Addresses

Primary practice location

2600 E M 72
Harrisville, MI 48740-9715

Mailing address

2600 E M 72
P.O. Box 308
Harrisville, MI 48740-9715
Phone (989) 736-3955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120423000767 MI Part B Supplier - Ambulance Service Supplier 9032371828 Practice locations: Glennie, MI; Harrisville, MI

National Provider Directory

National Provider Directory

Locations

2300 State Rd
Glennie, MI 48737
Phone (989) 736-3955

2600 E M 72
Harrisville, MI 48740
Phone (989) 736-3955

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1760427132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E M 72",
            "address_2": "P.O. BOX 308",
            "city": "HARRISVILLE",
            "state": "MI",
            "postal_code": "487409715",
            "telephone_number": "989-736-3955",
            "fax_number": "989-736-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E M 72",
            "city": "HARRISVILLE",
            "state": "MI",
            "postal_code": "487409715",
            "telephone_number": "989-736-3955",
            "fax_number": "989-736-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ALCONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "989-736-3955",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "011001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.