CLARK TOWNSHIP - MACKINAC COUNTY NPI 1790860278

NPI Information

  • NPI: 1790860278
  • Provider Name: CLARK TOWNSHIP - MACKINAC COUNTY
  • Classification: Ambulance - 341600000X
  • Entity Type: Organization
  • CLIA Number: 23D1050837
  • Address: 212 S MERIDIAN ST
    CEDARVILLE, MI
    ZIP 49719
  • Phone: (906) 484-2672

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NPI Details

CLARK TOWNSHIP - MACKINAC COUNTY is an ambulance in Cedarville, 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). CLARK TOWNSHIP - MACKINAC COUNTY NPI is 1790860278. The provider is registered as an organization entity type.

The provider's business location address is:

212 S MERIDIAN ST
CEDARVILLE, MI
ZIP 49719
Phone: (906) 484-2672
Fax: (906) 484-3199

The provider's authorized official is Susan J. Rutledge .
The authorized official title is Township Clerk and has the following contact phone number (906) 484-2672.

The CLIA number assigned to this NPI record is 23D1050837 - ambulance with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)

The enumeration date for this NPI number is 10/25/2006 and was last updated on 3/8/2013.

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
1341600000XAmbulance491001MICHIGANYes

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
10D90004MEDICARE PINMICHIGAN
2183001549MEDICAIDMICHIGAN

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: 11/21/2025

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