EAST BAY CHARTER TOWNSHIP (NPI# 1306997598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306997598 |
| Entity Type | Organization |
| Organization Name | EAST BAY CHARTER TOWNSHIP |
| Other Organization Name | EAST BAY AMBULANCE |
| Practice Address |
110 High Lake Rd Traverse City MI 49686-8136 |
| Mailing Address |
1965 3 Mile Rd N Traverse City MI 49686-8501 |
| Practice Telephone | 2319470299 |
| Practice Fax Number | 2319470602 |
| Mailing Telephone | 2319478647 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2011-02-09 |
| Authorized Official Name | GLEN LILE (TOWNSHIP SUPERVISOR) |
| Authorized Official Telephone | 2319478647 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST BAY CHARTER TOWNSHIP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
28 1001 | MI | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2968239 | 05 | |
| RAILROAD MEDICARE | 590009133 | 01 |
| Other Name | Type Code |
|---|---|
| East Bay Ambulance | Doing Business As Name - Organization |
| Street Address |
110 HIGH LAKE RD |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686-8136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| Find all providers in zip 49686 | ||||
| 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 |
|---|---|---|---|---|
| 1467904565 | Elmwood Charter Township | Ambulance | 10090 E Lincoln Rd, Traverse City, MI 49684-8487 | 2016-10-25 |
| 1396022109 | City of Traverse City | Ambulance | 400 Boardman Ave, Traverse City, MI 49684-2542 | 2011-11-08 |
| 1932490794 | Township of Peninsula | Ambulance | 13235 Center Rd, Traverse City, MI 49686-8560 | 2011-04-28 |
| 1457449803 | North Flight Inc | Ambulance | 1237 Hastings St, Traverse City, MI 49686-4319 | 2006-10-11 |
| 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 |
| 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 |
| 1225451982 | City of Auburn Hills | Ambulance | 1899 N Squirrel Rd, Auburn Hills, MI 48326-2749 | 2014-01-30 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
Please comment or provide details below to improve the information on EAST BAY CHARTER TOWNSHIP.
| 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.