Sand Lake Volunteer Fire Department

Primary specialty

Emergency Response System CompaniesTaxonomy code 333300000X

Legal business name

SAND LAKE VOLUNTEER FIRE DEPARTMENT

Practice address

1300 Michigan Ave
Tipton, MI 49287-9721

Phone

(517) 431-2800

NPI assigned

Sep 4, 2020

Last updated

Sep 4, 2020By 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

Mark Wilson

Title

Chief

Phone

(517) 403-9224

Specialties & licenses 1

Addresses

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": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1770197907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MICHIGAN AVE",
            "city": "TIPTON",
            "state": "MI",
            "postal_code": "492879721",
            "telephone_number": "517-431-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MICHIGAN AVE",
            "city": "TIPTON",
            "state": "MI",
            "postal_code": "492879721",
            "telephone_number": "517-431-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAND LAKE VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "517-403-9224"
    },
    "taxonomies": [
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Marie Curtis, RN
• Kay Ann Johnson
• Sharon Vantuyle
• Neal Kenneth Willing, LPC

• Emergency Response System Companies in Tipton, MI
• Providers in Tipton, MI by specialty
• Emergency Response System Companies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.