Township of Peninsula

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

281007 Issued in MI

Legal business name

TOWNSHIP OF PENINSULA

Doing business as

Peninsula Township Emergency Services

Practice address

13235 Center Rd
Traverse City, MI 49686-8560

Phone

(231) 223-7322

NPI assigned

Apr 28, 2011

Last updated

Feb 8, 2012By 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

Mr. Robert Manigold

Title

Supervisor

Phone

(231) 223-7322

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PENINSULA TOWNSHIP EMERGENCY SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1932490794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13235 CENTER RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496868560",
            "telephone_number": "231-223-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13235 CENTER RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496868560",
            "telephone_number": "231-223-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF PENINSULA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "MANIGOLD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "231-223-7322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "281007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "590B801840",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENINSULA TOWNSHIP EMERGENCY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah K Torres, WHNP
• Nicholas D Torrey, LPC, CAADC
• Kristen Marie Torrez, LPC
• Karen A Tosiello, PA-C
• Township of Long Lake
• Tracy a. Ruegsegger DDS PC
• Hannah Trader, MSW
• Cassandra Jeanne Trammel, MD
• Nicole Louise Tramontini-Gunn, MD
• Tranquil Beginnings Counseling

• Land Ambulance in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Land Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.