Active NPI
Township of Plymouth
- Ambulance
- Plymouth, MI
National Provider Identifier
1366470296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 341600000X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590H200770 | Other | MI | BCBSM |
| 183002377 | Medicaid | MI |
Other names 1
- Plymouth Community Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110203001021 | MI | Part B Supplier - Ambulance Service Supplier | 5294915542 | Practice locations: Plymouth, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1067845 | Plymouth Township Fire Department | Certificate of waiver | Apr 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.