Active NPI
Sebewaing Township
- Ambulance
- Sebewaing, MI
National Provider Identifier
1780759803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 321005
- Legal business name
- SEBEWAING TOWNSHIP
- Practice address
- 10 Sharpsteen St
Sebewaing, MI 48759 - Phone
- (989) 883-2120
- Fax
- (989) 883-9723
- NPI assigned
- Nov 22, 2006
- Last updated
- Apr 15, 2022
- 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
- Judy Gregory
- Title
- Treasurer
- Phone
- (989) 883-2120
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 321005 | MI | Primary |
| Land Ambulance | 3416L0300X | NU |
Addresses
Primary practice location
10 Sharpsteen St
Sebewaing, MI 48759
Mailing address
PO Box 687
14 Sharpsteen
Sebewaing, MI 48759
Phone (989) 883-2503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183001119 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050713000096 | MI | Part B Supplier - Ambulance Service Supplier | 1153357918 | Practice locations: Sebewaing, MI |
National Provider Directory
National Provider DirectoryLocations
10 E Sharpsteen St
Sebewaing, MI 48759
Phone (989) 883-2120
14 E Sharpsteen St
Sebewaing, MI 48759
Phone (989) 883-2120
328 N Center St
Sebewaing, MI 48759
Phone (989) 883-2120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649980800000",
"number": "1780759803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 687",
"address_2": "14 SHARPSTEEN",
"city": "SEBEWAING",
"state": "MI",
"postal_code": "48759",
"telephone_number": "989-883-2503",
"fax_number": "989-883-2515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SHARPSTEEN ST",
"city": "SEBEWAING",
"state": "MI",
"postal_code": "48759",
"telephone_number": "989-883-2120",
"fax_number": "989-883-9723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEBEWAING TOWNSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A",
"authorized_official_last_name": "GREGORY",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "989-883-2120"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MI",
"license": "321005",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183001119",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sebewaing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.