Organization Active NPI

Village of Elkton

  • Land Ambulance
  • Elkton, MI
National Provider Identifier
1891874038
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
183003202MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031124000738 MI Part B Supplier - Ambulance Service Supplier 2567366271 Practice locations: Elkton, MI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.