COLDSPRINGS-EXCELSIOR VOUNTEER FIRE & RESCUE DEPT NPI 1003837014

NPI Information

NPI: 1003837014
Provider Name: COLDSPRINGS-EXCELSIOR VOUNTEER FIRE & RESCUE DEPT
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 23D1013321

Address:
6565 COUNTY ROAD 612 NE
KALKASKA, MI
ZIP 49646
Phone: (231) 258-2107
Get Directions

COLDSPRINGS-EXCELSIOR VOUNTEER FIRE & RESCUE DEPT is an ambulance in Kalkaska, MI. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). COLDSPRINGS-EXCELSIOR VOUNTEER FIRE & RESCUE DEPT NPI is 1003837014. The provider is registered as an organization entity type.

The provider's business location address is:

6565 COUNTY ROAD 612 NE
KALKASKA, MI
ZIP 49646-530
Phone: (231) 258-2107

The provider's authorized official is William Wiita .
The authorized official title is Assistant Chief and has the following contact phone number (231) 258-2107.

The CLIA number assigned to this NPI record is 23D1013321 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 9/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	341600000X	Ambulance		401002	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0P20940	MEDICARE PIN	MICHIGAN
2	184753931	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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