Active NPI
Township of Windsor
- Land Ambulance
- Dimondale, MI
National Provider Identifier
1831132695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 231008
- Legal business name
- TOWNSHIP OF WINDSOR
- Practice address
- 405 W Jefferson St
Dimondale, MI 48821-9551 - Phone
- (517) 646-0772
- NPI assigned
- Jun 13, 2006
- 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
- Arthur St Clair
- Title
- Township Supervisor
- Phone
- (517) 646-0772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 231008 | MI | Primary |
Addresses
Primary practice location
405 W Jefferson St
Dimondale, MI 48821-9551
Mailing address
1701 Lake Lansing Rd
Suite 100
Lansing, MI 48912-3798
Phone (517) 485-0001
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590B30015 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1873220 | Medicaid | MI | |
| 200000003603 | Other | MI | PHPMM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070523000129 | MI | Part B Supplier - Ambulance Service Supplier | 9335246503 | Practice locations: Dimondale, MI |
National Provider Directory
National Provider DirectoryLocations
405 W Jefferson St
Dimondale, MI 48821
Phone (517) 646-0772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198713600000",
"number": "1831132695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 LAKE LANSING RD",
"address_2": "SUITE 100",
"city": "LANSING",
"state": "MI",
"postal_code": "489123798",
"telephone_number": "517-485-0001",
"fax_number": "517-485-1138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W JEFFERSON ST",
"city": "DIMONDALE",
"state": "MI",
"postal_code": "488219551",
"telephone_number": "517-646-0772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWNSHIP OF WINDSOR",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2007-12-27",
"status": "A",
"authorized_official_last_name": "ST CLAIR",
"authorized_official_first_name": "ARTHUR",
"authorized_official_title_or_position": "TOWNSHIP SUPERVISOR",
"authorized_official_telephone_number": "517-646-0772"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MI",
"license": "231008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "590B30015",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1873220",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHPMM",
"identifier": "200000003603",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dimondale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.