INTEGRATED FIRST RESPONSE-GREAT LAKES (NPI# 1083044762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083044762 |
Entity Type | Organization |
Organization Name | INTEGRATED FIRST RESPONSE-GREAT LAKES |
Practice Address |
719 River Avenue Iron Mountain MI 49801 |
Mailing Address |
Po Box 1137 Herndon VA 20172-1137 |
Practice Telephone | 8554379111 |
Practice Fax Number | 6055828983 |
Mailing Telephone | 8554379114 |
Mailing Fax Number | 8663885227 |
Enumeration Date | 2013-11-18 |
Last Update Date | 2013-11-18 |
Authorized Official Name | DOUGLAS D ANDERSON (TREASURER) |
Authorized Official Telephone | 6053663299 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
221010 | MI | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | MEDICARE PTAN | MI6850 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205186632 | Integrated First Response-great Lakes | Ambulance | 2260 Woodward Ave, Kingsford, MI 49802 | 2012-09-13 |
Street Address |
719 RIVER AVENUE |
City | IRON MOUNTAIN |
State | MI |
Zip Code | 49801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770008062 | John M Baccino | Dietitian, Registered | 325 E H St # 133, Iron Mountain, MI 49801 | 2017-08-08 |
1699148692 | Bd Baker Rentals LLC | Optometrist | 2100 Aragon Street, Iron Mountain, MI 49801 | 2015-11-12 |
1912340936 | Andrew James Tomlinson | Social Worker | Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 | 2013-04-09 |
1902196702 | Daniel John Fornetti | Dentist | 100 S. Stephenson Ave., Iron Mountain, MI 49801 | 2011-04-13 |
1871815613 | Colleen Ann Sleik | Physical Therapist | Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 | 2010-02-21 |
1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
1831349539 | Amanda Jane Petti | Dietitian, Registered | 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 | 2008-09-30 |
1891946521 | Riki Rouse | Hearing Instrument Specialist | W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 | 2008-09-30 |
1366690612 | Greenlund Enterpries, Inc | Hearing Aid Equipment | W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 | 2008-08-28 |
1356518153 | Cherith Counseling Center PC | Community/Behavioral Health | 215 East Hughitt Street, Iron Mountain, MI 49801 | 2008-05-12 |
Find all providers in zip 49801 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548739063 | City of Lincoln Park / Lincoln Park Fire Department | Ambulance | 1355 Cleophus Pkwy, Lincoln Park, MI 48146-2301 | 2018-11-14 |
1407347198 | Village of Holly | Ambulance | 414 N Saginaw St, Holly, MI 48442-1411 | 2018-05-29 |
1700385994 | Township of Paradise | Ambulance | 2300 E M 113, Kingsley, MI 49649-9370 | 2018-02-02 |
1073024808 | Township of Bedford | Ambulance | 7016 Lewis Ave, Temperance, MI 48182-1205 | 2017-10-19 |
1467904565 | Elmwood Charter Township | Ambulance | 10090 E Lincoln Rd, Traverse City, MI 49684-8487 | 2016-10-25 |
1437600558 | Cedar Area Fire & Rescue | Ambulance | 8907 S. Railroad Ave, Cedar, MI 49621-0208 | 2016-10-24 |
1023463833 | Lyon Township | Ambulance | 58800 Grand River Ave, New Hudson, MI 48165-9721 | 2016-04-29 |
1740685809 | Faithorn Rescue Squad | Ambulance | W8601 Blum Rd, Vulcan, MI 49892-9635 | 2014-10-30 |
1538568902 | City of Romulus | Ambulance | 28777 Eureka Rd, Romulus, MI 48174-2849 | 2014-08-21 |
1669898763 | Rapid Response One Ems | Ambulance | 600 N Houghton Ave, Manistique, MI 49854-1166 | 2014-03-13 |
Find all providers with the same taxonomy |
City | IRON MOUNTAIN |
Zip Code | 49801 |
Please comment or provide details below to improve the information on INTEGRATED FIRST RESPONSE-GREAT LAKES.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.