Organization Active NPI

North Oakland County Fire Authority

  • Land Ambulance
  • Holly, MI
National Provider Identifier
1326080854
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NORTH OAKLAND COUNTY FIRE AUTHORITY
Practice address
5051 Grange Hall Rd
Holly, MI 48442-8812
Phone
(248) 634-4511
Fax
(248) 531-0029
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Jeremy S Lintz
Title
Fire Chief EMS Coordinator
Phone
(248) 634-4511

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 631052 MI
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

5051 Grange Hall Rd
Holly, MI 48442-8812

Mailing address

5051 Grange Hall Rd
Holly, MI 48442-8812
Phone (248) 634-4511

Other identifiers 2

IdentifierTypeStateIssuer
18-4232371MedicaidMI
590F300430OtherMIBCBSM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031215000357 MI Part B Supplier - Ambulance Service Supplier 9234036708 Practice locations: Holly, MI

National Provider Directory

National Provider Directory

Locations

5051 Grange Hall Rd
Holly, MI 48442
Phone (248) 634-4511

4092 Grange Hall Rd
Holly, MI 48442
Phone (248) 676-7880

504 E Maple St
#A
Holly, MI 48442

504 E Maple St
Holly, MI 48442
Phone (248) 531-0029

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1326080854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 GRANGE HALL RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484428812",
            "telephone_number": "248-634-4511",
            "fax_number": "248-531-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 GRANGE HALL RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484428812",
            "telephone_number": "248-634-4511",
            "fax_number": "248-531-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OAKLAND COUNTY FIRE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "LINTZ",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FIRE CHIEF  EMS COORDINATOR",
        "authorized_official_telephone_number": "248-634-4511"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "631052",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18-4232371",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "590F300430",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.