POTTERVILLE BENTON TOWNSHIP FIRE
NPI 1508808106
Ambulance - Land Transport in Potterville, MI

Active since June 11, 2006CLIA 23D1040078 · Waiver
4713 HARTEL RD, POTTERVILLE, MI 48876(517) 231-3653 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Potterville Benton Township Fire NPPES

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

POTTERVILLE BENTON TOWNSHIP FIRE (NPI 1508808106) is a healthcare organization registered as a land transport in Potterville, Michigan and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Jack Fox, Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1508808106
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NamePOTTERVILLE BENTON TOWNSHIP FIRE
Location Address4713 HARTEL RDPotterville, MI 48876-9702
Mailing Address1701 Lake Lansing Rd, Suite 100Lansing, MI 48912-3798 · (517) 485-0001
Organization SubpartNo
Authorized OfficialJack FoxFire Chief · (517) 231-3653
Enumeration DateJune 11, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1508808106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License Licensed in MI · 231002
4713 HARTEL RD, Potterville, MI 48876

Other Identifiers 2

Medicaid3003310MI
Other590B30011MI · Blue Cross Blue Shield

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 23D1040078

Potterville Benton Twp Fire & Ems · Potterville, MI
Active · expires Apr 28, 2027
CLIA Number23D1040078
Laboratory TypeAmbulance
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorJack W. Fox
Laboratory Phone(517) 231-3653
Laboratory LocationPotterville Benton Twp Fire & Ems4713 Hartel, Potterville, MI 48876
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ambulance (Land Transport)
4713 HARTEL RD
POTTERVILLE, MI 48876

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 Potterville Benton Township Fire's NPI number?

The NPI number for Potterville Benton Township Fire is 1508808106. It was assigned to this organization in the NPPES registry on June 11, 2006.

Where is Potterville Benton Township Fire located?

Potterville Benton Township Fire is located at 4713 Hartel Rd, Potterville, MI 48876. The listed phone number is (517) 231-3653.

What is Potterville Benton Township Fire's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Potterville Benton Township Fire hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1040078) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Potterville Benton Township Fire was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.