Organization Active NPI

Village of Mackinaw City

  • Emergency Care Clinic/Center
  • Mackinaw City, MI
National Provider Identifier
1841380052
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
VILLAGE OF MACKINAW CITY
Practice address
102 S. Huron
Mackinaw City, MI 49701
Phone
(231) 436-5351
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Mrs. Patricia B Peppler
Title
Village Treasurer
Phone
(231) 436-5351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

102 S. Huron
Mackinaw City, MI 49701

Mailing address

PO Box 580
102 S Huron Ave
Mackinaw City, MI 49701
Phone (231) 436-5351

Other identifiers 1

IdentifierTypeStateIssuer
0A60005OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Village of Mackinaw City Ambulance Service Other name

National Provider Directory

National Provider Directory

Locations

102 S Huron Ave
Mackinaw City, MI 49701
Phone (231) 436-4180

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1841380052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "address_2": "102 S HURON AVE",
            "city": "MACKINAW CITY",
            "state": "MI",
            "postal_code": "49701",
            "telephone_number": "231-436-5351",
            "fax_number": "231-436-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S. HURON",
            "city": "MACKINAW CITY",
            "state": "MI",
            "postal_code": "49701",
            "telephone_number": "231-436-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF MACKINAW CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "PEPPLER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VILLAGE TREASURER",
        "authorized_official_telephone_number": "231-436-5351",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0A60005",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village of Mackinaw City Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mackinaw City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.