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

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2033436Deerfield Township Fire Department
468 Carey Street, Deerfield, MI 49238
Certificate of waiverDec 1, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070409000282 MI Part B Supplier - Ambulance Service Supplier 7012011638 Practice locations: Deerfield, MI

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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 Doing business as

Other providers in Deerfield, MI

All providers in Deerfield, MI · Land Ambulance in Michigan

Sources for this page

Verify at the official NPI Registry.