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CLARK TOWNSHIP - MACKINAC COUNTY
NPI 1790860278
Ambulance in Cedarville, MI

Active since October 25, 2006CLIA 23D1050837 · Waiver
212 S MERIDIAN ST, CEDARVILLE, MI 49719(906) 484-2672(906) 484-3199 Get Directions Write a Review

NPPES record last updated: March 8, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clark Township - Mackinac County NPPES

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

CLARK TOWNSHIP - MACKINAC COUNTY (NPI 1790860278) is a healthcare organization registered as an ambulance in Cedarville, Michigan and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through February 13, 2028 and lists Susan J. Rutledge, Township Clerk, as its authorized official.

NPPES Registry Identity

NPI1790860278
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameCLARK TOWNSHIP - MACKINAC COUNTY
Location Address212 S MERIDIAN STCedarville, MI 49719
Mailing Address207 N Blindline RoadCedarville, MI 49719 · (906) 484-2672 · Fax (906) 484-3199
Phone(906) 484-2672
Fax(906) 484-3199
Organization SubpartNo
Authorized OfficialSusan J. RutledgeTownship Clerk · (906) 484-2672
Enumeration DateOctober 25, 2006
Last NPPES UpdateMarch 8, 2013
✔ NPI 1790860278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in MI · 491001
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).
212 S MERIDIAN ST, Cedarville, MI 49719
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN0D90004MI
Medicaid183001549MI

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 23D1050837

Clark Township · Cedarville, MI
Active · expires Feb 13, 2028
CLIA Number23D1050837
Laboratory TypeAmbulance
Certificate Effective DateFebruary 14, 2026
Certificate Expiration DateFebruary 13, 2028
Laboratory DirectorKeith A. Mcgowan Jr
Laboratory Phone(906) 484-2672
Laboratory LocationClark Township212 S Meridian, Cedarville, MI 49719
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
770 services18 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
19 services13 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 Clark Township - Mackinac County's NPI number?

The NPI number for Clark Township - Mackinac County is 1790860278. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Clark Township - Mackinac County located?

Clark Township - Mackinac County is located at 212 S Meridian St, Cedarville, MI 49719. The listed phone number is (906) 484-2672.

What is Clark Township - Mackinac County's specialty?

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

Does Clark Township - Mackinac County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1050837) is associated with this NPI, valid through February 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clark Township - Mackinac County was last updated on March 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.