Addison Township

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

631068 Issued in MI

Legal business name

ADDISON TOWNSHIP

Practice address

4026 Forest St
Leonard, MI 48367-1909

Phone

(248) 628-5600

Fax

(248) 628-5770

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Jerry R Morawski

Title

Fire Chief

Phone

(248) 628-5600

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Addison Twp Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1366487407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4026 FOREST ST",
            "city": "LEONARD",
            "state": "MI",
            "postal_code": "483671909",
            "telephone_number": "248-628-5600",
            "fax_number": "248-628-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 FOREST ST",
            "city": "LEONARD",
            "state": "MI",
            "postal_code": "483671909",
            "telephone_number": "248-628-5600",
            "fax_number": "248-628-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISON TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "MORAWSKI",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "248-628-5600"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "631068",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "631068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18303722",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "590F300070",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TYPE 18 3203722",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addison Twp Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Beckwith
• Pamela Biehl
• Megan Frances Branstner
• Carlene J Brockert, LMSW
• Campbells Personal Care Home #4, Inc.

• Land Ambulance in Leonard, MI
• Providers in Leonard, MI by specialty
• Land Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.

Verify at the official NPI Registry.