Village of Holly

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

VILLAGE OF HOLLY

Practice address

414 N Saginaw St
Holly, MI 48442-1411

Phone

(248) 531-6010

Fax

(248) 531-6012

NPI assigned

May 29, 2018

Organization subpart

No

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

Authorized official

Name

Jeremy Cameron Watson

Title

Fire Chief

Phone

(810) 875-0236

Specialties & licenses 1

Addresses

Other names 1

• Village of Holly 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": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1407347198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N SAGINAW ST",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421411",
            "telephone_number": "231-531-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N SAGINAW ST",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421411",
            "telephone_number": "248-531-6010",
            "fax_number": "248-531-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF HOLLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "CAMERON",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "810-875-0236"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village of Holly Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Holly, MI
• Providers in Holly, 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 17, 2026; 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.