WHITE LAKE AMBULANCE SERVICE (NPI# 1225033855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225033855 |
| Entity Type | Organization |
| Organization Name | WHITE LAKE AMBULANCE SERVICE |
| Practice Address |
5085 Wilcox St Montague MI 49437-1558 |
| Practice Telephone | 2318944306 |
| Practice Fax Number | 2318930249 |
| Mailing Telephone | 2318944306 |
| Mailing Fax Number | 2318930249 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2016-06-29 |
| Authorized Official Name | MR. JONATHON DEGEN (DIRECTOR) |
| Authorized Official Telephone | 2318944306 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
611002 | MI | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4217295 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417175373 | White Lake Ambulance Service | Ambulance | 209 North Main Street, White Lake, SD 57383-0245 | 2007-04-23 |
| Street Address |
5085 WILCOX ST |
| City | MONTAGUE |
| State | MI |
| Zip Code | 49437-1558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538295886 | James M Husiak | Dentist | 8794 Spring Street, Montague, MI 49437 | 2007-02-23 |
| 1467530832 | Barbara Jean Brown | Physical Therapist | 9219 Water Street, Shoreline Rehab, Montague, MI 49437 | 2006-11-01 |
| 1740377548 | Susan Lynn Brufladt | Pharmacist | 8744 Ferry St., Montague, MI 49437 | 2006-10-05 |
| 1639257009 | Marilyn Louise Balgooyen | Physical Therapist | 9219 Water Street, Shoreline Rehab, Montague, MI 49437 | 2006-11-01 |
| 1023485117 | Michelle Ann Anderson | Pharmacy Technician | 9267 Pauline St, Montague, MI 49437-1021 | 2015-08-25 |
| 1629441258 | Joshua Ryder | Prosthetist | 4915 Stanton Blvd, Montague, MI 49437-1039 | 2015-11-04 |
| 1619341567 | West Coast Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 4915 Stanton Blvd, Montague, MI 49437-1039 | 2015-11-16 |
| 1235611757 | Bellmark Life Coaching | Counselor | 4581 Stanton Blvd, Montague, MI 49437-1060 | 2018-08-31 |
| 1194771824 | David Pastoor | Family Medicine | 4478 Dowling St, Montague, MI 49437-1201 | 2006-05-25 |
| 1083892921 | Prashanti Bishan Sarup Saxena | Physical Therapist | 4478 Dowling St, Montague, MI 49437-1201 | 2008-02-02 |
| Find all providers in zip 49437 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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|---|---|---|---|---|
| 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 | ||||
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| 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.