City of Woodhaven

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF WOODHAVEN

Practice address

23040 Hall Rd
Woodhaven, MI 48183-3206

Phone

(734) 675-4918

Fax

(734) 675-4947

NPI assigned

Jun 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bradley Alan Myles

Title

Fire Chief

Phone

(734) 675-4918

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710633600000",
    "number": "1003851973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2122",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481931122",
            "telephone_number": "734-224-4474",
            "fax_number": "734-479-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23040 HALL RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481833206",
            "telephone_number": "734-675-4918",
            "fax_number": "734-675-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WOODHAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "MYLES",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "734-675-4918"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "821030",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28227034",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590006642",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Campbell, LMSW, PLLC
• Chiagozie Chinemelu
• Isabel Rose Chism, CPNP-PC
• Saim Sattar Choudhry, DO
• Christopher R Deangelis D.O (Main Street Physicians P.C.)
• Jennifer Clancy, PHARM. D
• Megan Clark, FNP
• Comp RX Inc
• Amy Marie Conner, CPHT
• Miranda Cunningham, RN

• Land Ambulance in Woodhaven, MI
• Providers in Woodhaven, MI by specialty
• Land Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.