Active NPI
City of Madison Heights
- Land Ambulance
- Madison Heights, MI
National Provider Identifier
1073558094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 631009
- Legal business name
- CITY OF MADISON HEIGHTS
- Practice address
- 31313 Brush St
Madison Heights, MI 48071-1847 - Phone
- (248) 837-2833
- Fax
- (248) 588-3604
- NPI assigned
- Jun 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Lelito
- Title
- Fire Chief
- Phone
- (248) 837-2833
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 63 1009 | MI | |
| Land Ambulance | 3416L0300X | 631009 | MI | Primary |
Addresses
Primary practice location
31313 Brush St
Madison Heights, MI 48071-1847
Mailing address
300 W 13 Mile Rd
Madison Heights, MI 48071-1853
Phone (248) 837-2833
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182680845 | Medicaid | MI | |
| 18-2680845 | Medicaid | MI | |
| 590F300620 | Other | MI | BCBSM |
Other names 1
- Madison Heights Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040928000249 | MI | Part B Supplier - Ambulance Service Supplier | 3173592136 | Practice locations: Madison Heights, MI |
National Provider Directory
National Provider DirectoryLocations
26339 John R Rd
Madison Heights, MI 48071
Phone (248) 837-2807
300 W 13 Mile Rd
Madison Heights, MI 48071
Phone (248) 810-4491
31313 Brush St
Madison Hts, MI 48071
Phone (248) 837-2833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780012800000",
"number": "1073558094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W 13 MILE RD",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480711853",
"telephone_number": "248-837-2833",
"fax_number": "248-588-3604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31313 BRUSH ST",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480711847",
"telephone_number": "248-837-2833",
"fax_number": "248-588-3604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF MADISON HEIGHTS",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A",
"authorized_official_last_name": "LELITO",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "248-837-2833"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MI",
"license": "63 1009",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MI",
"license": "631009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182680845",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18-2680845",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "590F300620",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Madison Heights Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madison Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.