Great Lakes Medical Transport

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

GREAT LAKES MEDICAL TRANSPORT

Practice address

2600 Tonawanda Lake Rd
Grawn, MI 49637-9616

Phone

(989) 422-5629

NPI assigned

Mar 10, 2008

Last updated

Mar 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tammy Ann Sauve

Title

Owner

Phone

(989) 422-5625

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1902076581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 S LOXLEY RD",
            "city": "HOUGHTON LAKE",
            "state": "MI",
            "postal_code": "486299246",
            "telephone_number": "989-422-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TONAWANDA LAKE RD",
            "city": "GRAWN",
            "state": "MI",
            "postal_code": "496379616",
            "telephone_number": "989-422-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "SAUVE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-422-5625",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Secured Medical Transport (VAN) in Grawn, MI
• Providers in Grawn, MI by specialty
• Secured Medical Transport (VAN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.