Organization Active NPI

Frederic Township

  • Ambulance
  • Frederic, MI
National Provider Identifier
1831117100
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
201002 Issued in MI
Legal business name
FREDERIC TOWNSHIP
Practice address
6547 Frederic St
Frederic, MI 49733-0079
Phone
(989) 348-8190
NPI assigned
Jul 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Douglas John Pratt
Title
Fire Chief
Phone
(989) 348-8190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 201002 MI Primary

Addresses

Primary practice location

6547 Frederic St
Frederic, MI 49733-0079

Mailing address

PO Box 79
Frederic, MI 49733-0079
Phone (989) 348-8190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050712000807 MI Part B Supplier - Ambulance Service Supplier 5698701571 Practice locations: Frederic, MI

National Provider Directory

National Provider Directory

Locations

6547 Frederic St
Frederic, MI 49733
Phone (989) 348-8190

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831117100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79",
            "city": "FREDERIC",
            "state": "MI",
            "postal_code": "497330079",
            "telephone_number": "989-348-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6547 FREDERIC ST",
            "city": "FREDERIC",
            "state": "MI",
            "postal_code": "497330079",
            "telephone_number": "989-348-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERIC TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "989-348-8190"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "201002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederic, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.