Organization Active NPI

City of Rockwood

  • Ambulance
  • Rockwood, MI
National Provider Identifier
1407895865
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
821037 Issued in MI
Legal business name
CITY OF ROCKWOOD
Practice address
32409 Fort Rd
Rockwood, MI 48173-1111
Phone
(734) 379-5177
Fax
(734) 379-5758
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Daniel H Mercure
Title
Fire Chief
Phone
(734) 379-5177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 821037 MI Primary

Addresses

Primary practice location

32409 Fort Rd
Rockwood, MI 48173-1111

Mailing address

PO Box 2122
Riverview, MI 48193-1122
Phone (734) 479-6300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120206000716 MI Part B Supplier - Ambulance Service Supplier 1951568716 Practice locations: Rockwood, MI

National Provider Directory

National Provider Directory

Locations

32409 Fort Rd
Rockwood, MI 48173
Phone (313) 479-6300

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407895865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2122",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481931122",
            "telephone_number": "734-479-6300",
            "fax_number": "734-479-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32409 FORT RD",
            "city": "ROCKWOOD",
            "state": "MI",
            "postal_code": "481731111",
            "telephone_number": "734-379-5177",
            "fax_number": "734-379-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ROCKWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERCURE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "734-379-5177"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "821037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.