TOWNSHIP OF PORTAGE NPI 1619029980

NPI Information

NPI: 1619029980
Provider Name: TOWNSHIP OF PORTAGE

Doing Business As: PORTAGE TOWNSHIP AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
W17361 DAVIS STREET
CURTIS, MI
ZIP 49820
Phone: (906) 586-3574
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TOWNSHIP OF PORTAGE is a land transport ambulance in Curtis, MI. TOWNSHIP OF PORTAGE NPI is 1619029980. The provider is registered as an organization entity type.
The provider Is Doing Business As Portage Township Ambulance.

The provider's business location address is:

W17361 DAVIS STREET
CURTIS, MI
ZIP 49820-070
Phone: (906) 586-3574
Fax: (906) 586-3360

The provider's authorized official is Patricia Maclachlan .
The authorized official title is Clerk and has the following contact phone number (906) 586-9522.

The CLIA number assigned to this NPI record is 23D1068765 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 3/31/2023.

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	3416L0300X	Ambulance	Land Transport	491005	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	18-1804071	MEDICAID	MICHIGAN
2	590D90006	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD OF MI

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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