Township of Deerfield
Organization Active NPI Land Ambulance · Deerfield, MI
NPI 1336287754 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1336287754
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 461002 (MI)
- Legal business name
- TOWNSHIP OF DEERFIELD
- Practice address
- 468 Carey St
Deerfield, MI 49238-9741 - Phone
- (517) 447-3761
- Fax
- (517) 447-4162
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Brett Holubik
- Title
- Fire Chief
- Phone
- (517) 447-3761
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2033436 | Deerfield Township Fire Department | Certificate of waiver | Dec 1, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070409000282 | MI | Part B Supplier - Ambulance Service Supplier | 7012011638 | Practice locations: Deerfield, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 461002 | MI | Yes |
Addresses
Primary practice location
468 Carey St
Deerfield, MI 49238-9741
Mailing address
PO Box 2122
Riverview, MI 48193-1122
Phone (734) 479-6300
Other names
- Deerfield Township Fire Department
Other providers in Deerfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.