City of Ecorse

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

821005 Issued in MI

Legal business name

CITY OF ECORSE

Doing business as

Ecorse Fire Department

Practice address

3869 W Jefferson Ave
Ecorse, MI 48229-1701

Phone

(313) 381-6889

Fax

(313) 386-8162

NPI assigned

Dec 4, 2006

Last updated

Dec 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Franklin Hayes

Title

Administrator

Phone

(313) 779-9032

Specialties & licenses 1

Addresses

Other names 1

• ECORSE FIRE DEPARTMENT Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1487722682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3869 W JEFFERSON AVE",
            "city": "ECORSE",
            "state": "MI",
            "postal_code": "482291701",
            "telephone_number": "313-381-6889",
            "fax_number": "313-386-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3869 W JEFFERSON AVE",
            "city": "ECORSE",
            "state": "MI",
            "postal_code": "482291701",
            "telephone_number": "313-381-6889",
            "fax_number": "313-386-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ECORSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-779-9032"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "821005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECORSE FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ECORSE FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.