Active NPI
Village of Elkton
- Land Ambulance
- Elkton, MI
National Provider Identifier
1891874038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- VILLAGE OF ELKTON
- Practice address
- 57 N Main
Elkton, MI 48731-0516 - Phone
- (989) 375-2270
- Fax
- (989) 375-4361
- NPI assigned
- Nov 6, 2006
- Last updated
- Mar 30, 2023
- 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
- Phyllis Baranski
- Title
- Clerk
- Phone
- (989) 375-2270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
57 N Main
Elkton, MI 48731-0516
Mailing address
PO Box 516
57 N Main St
Elkton, MI 48731-0516
Phone (989) 375-2270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183003202 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031124000738 | MI | Part B Supplier - Ambulance Service Supplier | 2567366271 | Practice locations: Elkton, MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680134400000",
"number": "1891874038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 516",
"address_2": "57 N MAIN ST",
"city": "ELKTON",
"state": "MI",
"postal_code": "487310516",
"telephone_number": "989-375-2270",
"fax_number": "989-375-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 N MAIN",
"city": "ELKTON",
"state": "MI",
"postal_code": "487310516",
"telephone_number": "989-375-2270",
"fax_number": "989-375-4361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF ELKTON",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A",
"authorized_official_last_name": "BARANSKI",
"authorized_official_first_name": "PHYLLIS",
"authorized_official_title_or_position": "CLERK",
"authorized_official_telephone_number": "989-375-2270"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183003202",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.