City of Roseville

Primary specialty

AmbulanceTaxonomy code 341600000X

License

501009 Issued in MI

Legal business name

CITY OF ROSEVILLE

Practice address

18750 Common Rd
Roseville, MI 48066-2171

Phone

(586) 447-4583

Fax

(586) 777-8665

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael D Holland, AEMT-IC

Title

Chief of Training

Phone

(586) 447-4583

Specialties & licenses 1

Addresses

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": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1477589596",
    "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": "18750 COMMON RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662171",
            "telephone_number": "586-447-4583",
            "fax_number": "586-777-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ROSEVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF OF TRAINING",
        "authorized_official_telephone_number": "586-447-4583",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AEMT-IC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "501009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin S. Chen, M.D.
• Christie Cheng, MD
• Chiropractic Physicians, P.C.
• Nafisa Nawal Chowdhury
• Michelle L Cissell, DPT
• Clara Kamath-Wood MD PLLC
• Elany Clark, LLMSW
• Victoria Dyshelle Clark
• Clinic RX 6 LLC
• Karen Renee Cochenour, COTA

• All providers in Roseville, MI
• Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.