Organization Active NPI

City of Madison Heights

  • Land Ambulance
  • Madison Heights, MI
National Provider Identifier
1073558094
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
631009 Issued in MI
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

Updated by the provider on May 29, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
182680845MedicaidMI
18-2680845MedicaidMI
590F300620OtherMIBCBSM

Other names 1

  • Madison Heights Fire Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928000249 MI Part B Supplier - Ambulance Service Supplier 3173592136 Practice locations: Madison Heights, MI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.