County of Iosco

Primary specialty

AmbulanceTaxonomy code 341600000X

License

35-1003 Issued in MI

Legal business name

COUNTY OF IOSCO

Practice address

1808 E US 23
East Tawas, MI 48730-9315

Phone

(989) 362-5534

Fax

(989) 362-5059

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Jamie Carruthers-Soboleski

Title

County Controller/Finance Director

Phone

(989) 984-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Iosco Medical Care Facility

  • Skilled Nursing Facility
  • Tawas City, MI
  • NPI 1760470017

  Member Of

  NPD member

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Iosco Medical Care Facility

  • Skilled Nursing Facility
  • Tawas City, MI
  • NPI 1760470017

  5% Or Greater Direct Ownership Interest

  CMS ownership

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1912935651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 E US 23",
            "city": "EAST TAWAS",
            "state": "MI",
            "postal_code": "487309315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 E US 23",
            "city": "EAST TAWAS",
            "state": "MI",
            "postal_code": "487309315",
            "telephone_number": "989-362-5534",
            "fax_number": "989-362-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF IOSCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "CARRUTHERS-SOBOLESKI",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "COUNTY CONTROLLER/FINANCE DIRECTOR",
        "authorized_official_telephone_number": "989-984-1000"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "35-1003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "590001430",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Austen James Curtis
• Ashley Daoust
• Brittany Marie Decker
• Shelby Dewar

• All providers in East Tawas, MI
• Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.