Active NPI
County of Alcona
- Ambulance
- Harrisville, MI
National Provider Identifier
1760427132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 011001
- 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, 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
- Ms. Kristin Hoffman
- Title
- Director
- Phone
- (989) 736-3955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120423000767 | MI | Part B Supplier - Ambulance Service Supplier | 9032371828 | Practice locations: Glennie, MI; Harrisville, MI |
National Provider Directory
National Provider DirectoryLocations
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.