Organization Active NPI

Township of Windsor

  • Land Ambulance
  • Dimondale, MI
National Provider Identifier
1831132695
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
231008 Issued in MI
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

Updated by the provider on Dec 27, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
590B30015OtherMIBLUE CROSS BLUE SHIELD
1873220MedicaidMI
200000003603OtherMIPHPMM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070523000129 MI Part B Supplier - Ambulance Service Supplier 9335246503 Practice locations: Dimondale, MI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.