EAST GRAND LAKE VOLUNTEER FIRE DEPARTMENT INC
NPI 1295020139
Ambulance in Presque Isle, MI

Active since June 17, 2011CLIA 23D1073401 · Waiver
8959 E GRAND LAKE RD, PRESQUE ISLE, MI 49777(989) 595-2412 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Grand Lake Volunteer Fire Department Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST GRAND LAKE VOLUNTEER FIRE DEPARTMENT INC (NPI 1295020139) is a healthcare organization registered as an ambulance in Presque Isle, Michigan and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through September 9, 2027 and lists Michele Moore, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1295020139
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameEAST GRAND LAKE VOLUNTEER FIRE DEPARTMENT INC
Location Address8959 E GRAND LAKE RDPresque Isle, MI 49777-8633
Mailing AddressPo Box 9Presque Isle, MI 49777-0009 · (989) 595-2412
Organization SubpartNo
Authorized OfficialMichele MooreBilling Manager · (517) 318-3732
Enumeration DateJune 17, 2011
Last NPPES UpdateDecember 3, 2024
NPPES CertifiedDecember 2, 2024
NPI 1295020139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License Licensed in MI · 711001
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
8959 E GRAND LAKE RD, Presque Isle, MI 49777

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1073401

East Grand Lake Fire Department · Presque Isle, MI
Active · expires Sep 9, 2027
CLIA Number23D1073401
Laboratory TypeAmbulance
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorRonald R. Fournier
Laboratory Phone(989) 595-6605
Laboratory LocationEast Grand Lake Fire Department8959 E Grand Lake Road, Presque Isle, MI 49777
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
378 services15 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Grand Lake Volunteer Fire Department Inc's NPI number?

The NPI number for East Grand Lake Volunteer Fire Department Inc is 1295020139. It was assigned to this organization in the NPPES registry on June 17, 2011.

Where is East Grand Lake Volunteer Fire Department Inc located?

East Grand Lake Volunteer Fire Department Inc is located at 8959 E Grand Lake Rd, Presque Isle, MI 49777. The listed phone number is (989) 595-2412.

What is East Grand Lake Volunteer Fire Department Inc's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does East Grand Lake Volunteer Fire Department Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1073401) is associated with this NPI, valid through September 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Grand Lake Volunteer Fire Department Inc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list East Grand Lake Volunteer Fire Department Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Grand Lake Volunteer Fire Department Inc was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.