Township of Leland
Organization Active NPI Land Ambulance · Leland, MI
NPI 1972534469 · NPPES record last updated Dec 21, 2022
Key facts
- NPI
- 1972534469
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 451004 (MI)
- Legal business name
- TOWNSHIP OF LELAND
- Practice address
- 201 Grand Avenue
Leland, MI 49654-0578 - Phone
- (231) 256-7546
- Fax
- (231) 256-2465
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Lisa L Brookfield
- Title
- Township Clerk
- Phone
- (231) 256-7546
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1046567 | Leland Township Fire and Rescue | Certificate of waiver | Oct 12, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120413000689 | MI | Part B Supplier - Ambulance Service Supplier | 4486815636 | Practice locations: Leland, MI; Lake Leelanau, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | 451004 | MI | Yes |
Addresses
Primary practice location
201 Grand Avenue
Leland, MI 49654-0578
Mailing address
P.O. Box 578
Leland, MI 49654-0578
Phone (231) 256-7546
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590D500080 | Other | MI | BCBSM |
| 182634029 | Medicaid | MI |
Other names
- Township of Leland Fire Department
Other providers in Leland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.