Organization Active NPI

Township of Brandon

Doing business as Township of Brandon Fire Department

  • Land Ambulance
  • Ortonville, MI
National Provider Identifier
1376579029
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
631032 Issued in MI
Legal business name
TOWNSHIP OF BRANDON
Doing business as
Township of Brandon Fire Department
Practice address
53 South St
Ortonville, MI 48462-8530
Phone
(248) 627-4000
Fax
(248) 627-3181
NPI assigned
Jun 24, 2006
Last updated
Sep 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Mr. David Kwapis
Title
Fire Chief
Phone
(248) 627-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 631032 MI Primary

Addresses

Primary practice location

53 South St
Ortonville, MI 48462-8530

Mailing address

53 South St
Ortonville, MI 48462-8530
Phone (248) 627-4000

Other identifiers 1

IdentifierTypeStateIssuer
184111456MedicaidMI

Other names 1

  • Township of Brandon Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120312000076 MI Part B Supplier - Ambulance Service Supplier 4880853860 Practice locations: Oxford, MI; Ortonville, MI

National Provider Directory

National Provider Directory

Locations

395 Mill St
Ortonville, MI 48462

53 South St
Ortonville, MI 48462
Phone (248) 627-4000

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1376579029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SOUTH ST",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484628530",
            "telephone_number": "248-627-4000",
            "fax_number": "248-627-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 SOUTH ST",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484628530",
            "telephone_number": "248-627-4000",
            "fax_number": "248-627-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF BRANDON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "KWAPIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "248-627-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "631032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184111456",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Township of Brandon Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ortonville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.