City of Garden City

Primary specialty

AmbulanceTaxonomy code 341600000X

License

821007 Issued in MI

Legal business name

CITY OF GARDEN CITY

Practice address

6000 Middlebelt Rd
Fire Department
Garden City, MI 48135-2480

Phone

(734) 793-1780

Fax

(734) 793-1781

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Randy Keen

Title

Chief

Phone

(734) 793-1783

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1104864271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 MIDDLEBELT RD",
            "address_2": "FIRE DEPARTMENT",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352480",
            "telephone_number": "734-793-1780",
            "fax_number": "734-793-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GARDEN CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "KEEN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "734-793-1783"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "821007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "590H2006300",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "590045292",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18-1744429",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherry Ruff Pharmacy LLC
• Adam Edward Chornoby, D.O.
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• James Chung, D.O.
• Citizens Care Services, Inc.
• Clark Center for Comprehensive Medicine P.C.
• Donald Godfrey Clark, P.A.-C
• William Russell Clugston, DC
• Alysse Jaclyn Cohen, M.D.
• Gary A. Cohen, D.D.S.

• Ambulance in Garden City, MI
• Providers in Garden City, MI by specialty
• Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.