Organization Active NPI

Elk Rapids Township

  • Land Ambulance
  • Elk Rapids, MI
National Provider Identifier
1902985997
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
051005 Issued in MI
Legal business name
ELK RAPIDS TOWNSHIP
Practice address
209 Bridge St
Elk Rapids, MI 49629
Phone
(231) 264-9333
NPI assigned
Nov 2, 2006
Last updated
Jan 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Mrs. Carolyn Boals
Title
Township Clerk
Phone
(231) 264-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 051005 MI Primary

Addresses

Primary practice location

209 Bridge St
Elk Rapids, MI 49629

Mailing address

PO Box 365
Elk Rapids, MI 49629-0365
Phone (231) 264-9333

Other identifiers 2

IdentifierTypeStateIssuer
590D50005OtherMIBLUE CROSS BLUE SHIELD
3278474MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1902985997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "ELK RAPIDS",
            "state": "MI",
            "postal_code": "496290365",
            "telephone_number": "231-264-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BRIDGE ST",
            "city": "ELK RAPIDS",
            "state": "MI",
            "postal_code": "49629",
            "telephone_number": "231-264-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK RAPIDS TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "BOALS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "TOWNSHIP CLERK",
        "authorized_official_telephone_number": "231-264-9333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "051005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "590D50005",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3278474",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.