Organization Active NPI

Sebewaing Township

  • Ambulance
  • Sebewaing, MI
National Provider Identifier
1780759803
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
321005 Issued in MI
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
183001119MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050713000096 MI Part B Supplier - Ambulance Service Supplier 1153357918 Practice locations: Sebewaing, MI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.