Norman Township

Primary specialty

AmbulanceTaxonomy code 341600000X

License

511002 Issued in MI

Legal business name

NORMAN TOWNSHIP

Practice address

17206 8TH Street
Wellston, MI 49689-0143

Phone

(231) 848-4495

Fax

(231) 848-4494

NPI assigned

Oct 10, 2007

Last updated

Aug 26, 2024By 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

Ronald Cole, EMT, CADS

Title

Captain

Phone

(231) 848-4495

Specialties & licenses 1

Addresses

Other identifiers 3

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

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1982892444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "address_2": "17206 8TH STREET",
            "city": "WELLSTON",
            "state": "MI",
            "postal_code": "496890143",
            "telephone_number": "231-848-4495",
            "fax_number": "231-848-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17206 8TH STREET",
            "city": "WELLSTON",
            "state": "MI",
            "postal_code": "496890143",
            "telephone_number": "231-848-4495",
            "fax_number": "231-848-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "231-848-4495",
        "authorized_official_credential": "EMT, CADS"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "511002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2729365",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "590E110260",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "590E110260",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Bliss, PAC
• Cody Ryan Carlson, EMT, I/C
• Amber Ciacelli
• Fischer Corporation
• Jennifer Tabar, LPC, LLC
• Rural Health Associates LLP (Kaleva Medical Center PLLC)
• Jordan Warnsholz, PA
• Wellston Medical Center PLLC
• Wrigleys Pharmacy 6, LLC

• Ambulance in Wellston, MI
• Providers in Wellston, MI by specialty
• Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.