TOWNSHIP OF GREEN LAKE GRAND TRAVERSE COUNTY (NPI# 1669524948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669524948 |
| Entity Type | Organization |
| Organization Name | TOWNSHIP OF GREEN LAKE GRAND TRAVERSE COUNTY |
| Other Organization Name | TOWNSHIP OF GREEN LAKE |
| Practice Address |
9394 10th St Interlochen MI 49643 |
| Mailing Address |
Po Box 747 Wheeling IL 60090-0747 |
| Practice Telephone | 2312766297 |
| Practice Fax Number | 2312769388 |
| Mailing Telephone | 8002442345 |
| Mailing Fax Number | 8003295274 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2016-11-22 |
| Authorized Official Name | MR. MICHAEL STINSON (FIRE CAPTAIN) |
| Authorized Official Telephone | 2312766297 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
281005 | MI | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3295644 | 05 | |
| MI | PRIORITY HEALTH | 26364 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 0B80013 | 01 |
| Other Name | Type Code |
|---|---|
| Township of Green Lake | Former Legal Business Name - Organization |
| Street Address |
9394 10TH ST |
| City | INTERLOCHEN |
| State | MI |
| Zip Code | 49643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346704517 | Thompson Pharmacy, Inc. | Pharmacy | 2072 M-137, Interlochen, MI 49643 | 2019-01-22 |
| 1427250216 | Jeanette Theresa Huddleston | Registered Nurse | 20759 Us-31s, Interlochen, MI 49643 | 2007-06-04 |
| 1861544868 | Northwest Synergy Inc | Pharmacist | 2100 Old Grade Ave., Box 67, Interlochen, MI 49643 | 2007-01-18 |
| 1013072842 | Debra E Lewis Dds, PC | Dentist | 2120 M137, Interlochen, MI 49643 | 2006-12-22 |
| 1871784868 | Debra E. Lewis | Dentist | 2120 M137, Interlochen, MI 49643 | 2007-08-06 |
| 1013924919 | A. Barry Lishawa | Dentist | 2120 M-137, Interlochen Professional Building, Interlochen, MI 49643-0095 | 2006-08-02 |
| 1174843353 | Interlochen Center for The Arts | Nurse Practitioner | 9900 Diamond Park Road, Health Services, Interlochen, MI 49643-0199 | 2010-06-10 |
| 1669853354 | Beth Oster | Midwife | 2921 Gonder Rd, Interlochen, MI 49643-8414 | 2015-06-18 |
| 1659757052 | Aubrey Jabour | Physical Therapist | 10296 Betsie Creek Dr, Interlochen, MI 49643-9199 | 2015-08-07 |
| 1417902057 | Crystal Lake Clinic P.C. | Pediatrics | 1975 Stirling Dr, Interlochen, MI 49643-9264 | 2006-05-23 |
| Find all providers in zip 49643 | ||||
| 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 | INTERLOCHEN |
| Zip Code | 49643 |
Please comment or provide details below to improve the information on TOWNSHIP OF GREEN LAKE GRAND TRAVERSE COUNTY.
| 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.