Bay Ambulance, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

071001 Issued in MI

Legal business name

BAY AMBULANCE, INC

Practice address

116 Michigan Ave
Baraga, MI 49908-9676

Phone

(906) 353-6196

Fax

(906) 353-8176

NPI assigned

Jul 7, 2005

Last updated

Jun 5, 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. Gary Wadaga, EMTP

Title

Director

Phone

(906) 353-6196

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

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1992703656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "BARAGA",
            "state": "MI",
            "postal_code": "499080001",
            "telephone_number": "906-353-6196",
            "fax_number": "906-353-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MICHIGAN AVE",
            "city": "BARAGA",
            "state": "MI",
            "postal_code": "499089676",
            "telephone_number": "906-353-6196",
            "fax_number": "906-353-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AMBULANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "WADAGA",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "906-353-6196",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMTP"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "071001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001825",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Theresa Amsler
• Joseph James Arcand
• Deborah Ann Arens, LPN
• Kayla Bosen
• Marianne J Brady, PHD
• Laura Marie Cladas, REGISTERED NURSE
• Shirley R Courey, NP
• Derek Falk, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.