Active NPI
Village of Mackinaw City
- Emergency Care Clinic/Center
- Mackinaw City, MI
National Provider Identifier
1841380052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0A60005 | Other | MI | BLUE CROSS BLUE SHIELD |
Other names 1
- Village of Mackinaw City Ambulance Service
National Provider Directory
National Provider DirectoryLocations
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.