Organization Active NPI

Township of Plymouth

  • Ambulance
  • Plymouth, MI
National Provider Identifier
1366470296
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
341600000X Issued in MI
Legal business name
TOWNSHIP OF PLYMOUTH
Practice address
9955 Haggerty Rd
Plymouth, MI 48170-4673
Phone
(734) 354-3221
Fax
(734) 354-9672
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Mr. Mark S Wendel
Title
Fire Chief
Phone
(734) 354-3220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 341600000X MI Primary

Addresses

Primary practice location

9955 Haggerty Rd
Plymouth, MI 48170-4673

Mailing address

9955 N Haggerty Rd
Plymouth, MI 48170-4673
Phone (517) 318-3756

Other identifiers 2

IdentifierTypeStateIssuer
590H200770OtherMIBCBSM
183002377MedicaidMI

Other names 1

  • Plymouth Community Fire Department Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110203001021 MI Part B Supplier - Ambulance Service Supplier 5294915542 Practice locations: Plymouth, 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
23D1067845Plymouth Township Fire Department9955 N Haggerty Road, Plymouth, MI 48170Certificate of waiverApr 26, 2027

National Provider Directory

National Provider Directory

Locations

9955 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 354-3221

41212 Wilcox Rd
Plymouth, MI 48170
Phone (734) 354-3221

42350 Ann Arbor Rd E
Plymouth, MI 48170
Phone (734) 354-3220

9911 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 354-3221

13600 N Beck Rd
Plymouth, MI 48170
Phone (734) 354-3221

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1366470296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9955 N HAGGERTY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704673",
            "telephone_number": "517-318-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9955 HAGGERTY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704673",
            "telephone_number": "734-354-3221",
            "fax_number": "734-354-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF PLYMOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "WENDEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "734-354-3220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "341600000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "590H200770",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183002377",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plymouth Community Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.