GREAT LAKES MEDICAL TRANSPORT (NPI# 1902076581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902076581 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES MEDICAL TRANSPORT |
| Practice Address |
2600 Tonawanda Lake Rd Grawn MI 49637-9616 |
| Mailing Address |
2831 S Loxley Rd Houghton Lake MI 48629-9246 |
| Practice Telephone | 9894225629 |
| Mailing Telephone | 9894225625 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |
| Authorized Official Name | MS. TAMMY ANN SAUVE (OWNER) |
| Authorized Official Telephone | 9894225625 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343800000X | Secured Medical Transport (VAN) | Transportation Services |
| Street Address |
2600 TONAWANDA LAKE RD |
| City | GRAWN |
| State | MI |
| Zip Code | 49637-9616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528147519 | Glen Arbor Township | Ambulance | 6401 West State St, Glen Arbor, MI 49637 | 2006-11-02 |
| 1447339411 | Township of Blair | Ambulance | 2121 Co Rd 633, Grawn, MI 49637-9406 | 2006-11-02 |
| 1407058928 | Cutting Edge Eyewear | Eyewear Supplier (Equipment, not the service) | 1525 County Road 633, Suite B, Grawn, MI 49637-9450 | 2007-06-05 |
| 1578065603 | Ashley Curtis Tarras | Occupational Therapist | 6155 Jeffrey Pl, Grawn, MI 49637-9557 | 2018-03-05 |
| 1558801118 | West Shore Homes Afc, LLC | Custodial Care Facility | 2651 Leaf Ln, Grawn, MI 49637-9605 | 2017-03-02 |
| 1669968129 | Lake Shore Afc, LLC | Assisted Living Facility | 2480 Tonawanda Lake Rd, Grawn, MI 49637-9615 | 2018-07-09 |
| 1043315492 | Deborah Warren | Family Medicine | 6176 Us Highway 31, Grawn, MI 49637-9620 | 2006-09-13 |
| 1871736710 | Health At Its Best, Pllc | Family Medicine | 6176 Us Highway 31, Grawn, MI 49637-9620 | 2009-04-08 |
| 1518279512 | Joan Elizabeth Metropoulos | Physical Therapy Assistant | 2351 Sadie Ln, Grawn, MI 49637-9694 | 2010-07-07 |
| 1043755135 | Adam Devaney | Social Worker | 1488 Mcgregor Way, Grawn, MI 49637-9697 | 2016-12-27 |
| Find all providers in zip 49637 | ||||
| Taxonomy Code | 343800000X |
| Grouping | Transportation Services |
| Classification | Secured Medical Transport (VAN) |
| A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134772841 | Darrell Lee Williams Sr. | Secured Medical Transport (VAN) | 25814 Beecham, Farmington Hills, MI 48336-4833 | 2019-07-22 |
| 1154843118 | It's All About Time Transportation LLC | Secured Medical Transport (VAN) | 2305 Millbrook, Mt Pleasant, MI 48858 | 2017-07-12 |
| 1124568415 | Wright Transportation Services, LLC | Secured Medical Transport (VAN) | 28709 Dequindre Rd, Madison Heights, MI 48071 | 2017-03-06 |
| 1396103073 | Eric Ott | Secured Medical Transport (VAN) | 10750 Culver Rd, Brighton, MI 48114-9067 | 2016-02-09 |
| 1306258041 | Tolbert Transportation | Secured Medical Transport (VAN) | 14534 Saint Marys St, Detroit, MI 48227-1841 | 2014-05-29 |
| 1023442829 | American Shuttle LLC | Secured Medical Transport (VAN) | 6353 S Saginaw Rd, Grand Blanc, MI 48439-8140 | 2013-08-28 |
| 1841509288 | Aaa Medical Trasportation | Secured Medical Transport (VAN) | 355 Cherry Valley Dr, Q14, Inkster, MI 48141-1494 | 2010-10-04 |
| 1699092684 | Power Enterprise Group Inc. | Secured Medical Transport (VAN) | 28780 John R Rd Ste B, Madison Heights, MI 48071-2800 | 2010-04-29 |
| 1649500919 | Gerriden Transport | Secured Medical Transport (VAN) | 14566 Forrer St, Detroit, MI 48227-2200 | 2010-01-07 |
| 1407185770 | Alternative Transportation Sulutions Inc. | Secured Medical Transport (VAN) | 29193 Northwestern Hwy, Suite 743, Southfield, MI 48034-1011 | 2009-12-16 |
| 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.