Active NPI
North Oakland County Fire Authority
- Land Ambulance
- Holly, MI
National Provider Identifier
1326080854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18-4232371 | Medicaid | MI | |
| 590F300430 | Other | MI | BCBSM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031215000357 | MI | Part B Supplier - Ambulance Service Supplier | 9234036708 | Practice locations: Holly, MI |
National Provider Directory
National Provider DirectoryLocations
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.