City of Riverview
Organization Active NPI Land Ambulance · Riverview, MI
NPI 1003847419 · NPPES record last updated Jul 21, 2026
Key facts
- NPI
- 1003847419
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 821024 (MI)
- Legal business name
- CITY OF RIVERVIEW
- Practice address
- 18500 Civic Park Dr
Riverview, MI 48193 - Phone
- (735) 281-4264
- Fax
- (734) 281-1597
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Glenn Owens
- Title
- Fire Chief
- Phone
- (734) 281-4265
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1093972 | Riverview Fire Department | Certificate of waiver | Jan 6, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060130000385 | MI | Part B Supplier - Ambulance Service Supplier | 0143234153 | Practice locations: Riverview, MI |
National Provider Directory
Locations
14300 Sibley Rd
Riverview, MI 48193
Phone (734) 281-4264
14100 Civic Park Dr
Riverview, MI 48193
Phone (734) 281-4219
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 821024 | MI | Yes |
Addresses
Primary practice location
18500 Civic Park Dr
Riverview, MI 48193
Mailing address
14100 Civic Park Dr
Riverview, MI 48193-7600
Phone (735) 281-4264
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182627249 | Medicaid | MI |
Other names
- Riverview Fire Department
Other providers in Riverview, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.