Organization Active NPI

City of St. Clair Shores

  • Land Ambulance
  • St. Clair Shores, MI
National Provider Identifier
1174561104
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF ST. CLAIR SHORES
Practice address
26700 Harper Avenue
St. Clair Shores, MI 48081-1953
Phone
(586) 445-5380
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Authorized official

Name
James Piper
Title
Fire Chief
Phone
(586) 445-5380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

26700 Harper Avenue
St. Clair Shores, MI 48081-1953

Mailing address

PO Box 2122
Riverview, MI 48193-1122
Phone (009) 266-9858

Other identifiers 1

IdentifierTypeStateIssuer
183000846MedicaidMI

Other names 1

  • St. Clair Shores 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
O20111116000717 MI Part B Supplier - Ambulance Service Supplier 1759555352 Practice locations: Saint Clair Shores, MI; St Clair Shores, MI

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1081812City of St Clair Shores Fire Dept26700 Harper Avenue, Saint Clair Shores, MI 48081Certificate of waiverMar 25, 2028

National Provider Directory

National Provider Directory

Locations

26700 Harper Ave
Saint Clair Shores, MI 48081
Phone (586) 445-5380

23815 Greater Mack Ave
St Clr Shores, MI 48080
Phone (586) 445-5380

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1174561104",
    "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": "009-266-9858",
            "fax_number": "734-479-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26700 HARPER AVENUE",
            "city": "ST. CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811953",
            "telephone_number": "586-445-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ST. CLAIR SHORES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "PIPER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "586-445-5380"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183000846",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Clair Shores Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Clair Shores Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St. Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.