MARI I DEBOLT (NPI# 1265092589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265092589 |
| Entity Type | Individual |
| Full Name | MARI I DEBOLT |
| Practice Address |
123 N Pine St Saint Louis MI 48880-1428 |
| Practice Telephone | 9897210857 |
| Mailing Telephone | 9897210857 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 1934415 | MI | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | EMERGENCY MEDICAL TECHNICIAN LICENSE | 1934415 | 01 |
| Street Address |
123 N PINE ST |
| City | SAINT LOUIS |
| State | MI |
| Zip Code | 48880-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579168 | Mari's Cleaning and Senior Care Services | Home Health | 123 N Pine St, Saint Louis, MI 48880-1428 | 2019-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036838 | Sheril Amilia Rolston | Technician/Technologist | 223 S Deleware St, Saint Louis, MI 48880 | 2020-06-08 |
| 1376603175 | Nancy Louise Parsons | Counselor | 214 W Saginow St, St Louis, MI 48880 | 2006-12-11 |
| 1396846234 | Greg William Lowe | Dentist | 622 E. Washington Ave., St. Louis, MI 48880 | 2006-09-25 |
| 1598319196 | James H Seals Peter B Tacia & Tad J Bartz Od PC | Optometrist | 235 N Mill St, St Louis, MI 48880 | 2019-07-31 |
| 1922469170 | Justin Michael Elliott | Occupational Therapist | 1149 W Monroe Rd, St. Louis, MI 48880 | 2016-03-16 |
| 1730645052 | Judy L Crockett | Counselor | 115 Chestnut St Apt B, Saint Louis, MI 48880-1308 | 2019-02-11 |
| 1871941880 | Gary Dwayne Tegge | Technician, Other | 616 Maple St, Saint Louis, MI 48880-1335 | 2016-05-31 |
| 1386644839 | Evans Drugs of Saint Louis LLC | Durable Medical Equipment & Medical Supplies | 116 N Mill St, Saint Louis, MI 48880-1521 | 2005-07-27 |
| 1497050454 | Aspire Rx LLC | Pharmacy | 116 N Mill St, Saint Louis, MI 48880-1521 | 2011-01-21 |
| 1760638019 | Kentwood Pharmacy | Pharmacy | 116 N Mill St, Saint Louis, MI 48880-1521 | 2008-08-18 |
| Find all providers in zip 48880 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104260652 | Charles Justin Hangge | Emergency Medical Technician, Basic | 2862 Championship Blvd, Saint Louis, MO 63129-5269 | 2013-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938001 | Thomas Merkle | Emergency Medical Technician, Basic | 1036 Bowen Ln, Quincy, MI 49082-8407 | 2020-06-25 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1780225169 | Clarissa Marie Baraiac | Emergency Medical Technician, Basic | 26366 Wolverine St, Madison Heights, MI 48071-3714 | 2019-10-07 |
| 1265919120 | Samuel Lee Buckley IIi | Emergency Medical Technician, Basic | 1200 N Telegraph Rd # Bdlg32e, Pontiac, MI 48341-1032 | 2018-07-24 |
| 1144737594 | Taylor Hoekwater | Emergency Medical Technician, Basic | Central Michigan University Health Professions Ofc 1205, Mount Pleasant, MI 48859-0001 | 2018-01-08 |
| 1518418730 | Tamica K Boyd | Emergency Medical Technician, Basic | 15890 Lamphere, Detroit, MI 48223 | 2016-10-24 |
| 1639543374 | Tyler Alley | Emergency Medical Technician, Basic | 4267 Monroe St, Ecorse, MI 48229-1519 | 2015-11-18 |
| 1497122881 | Kyle Andre St. Peter | Emergency Medical Technician, Basic | 41641 Utica Rd, Sterling Heights, MI 48313-3264 | 2015-09-01 |
| 1205242294 | Pennfield Twp Fire Dept | Emergency Medical Technician, Basic | 20260 Capital Ave Ne, Battle Creek, MI 49017-9727 | 2014-07-10 |
| 1669731998 | Michael Anthony Wilk | Emergency Medical Technician, Basic | 188 W Spruce St, Saint Ignace, MI 49781-1649 | 2012-05-07 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 48880 |
Please comment or provide details below to improve the information on MARI I DEBOLT.
| 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.