Active NPI
City of Lansing
Doing business as City of Lansing Fire Department
- Land Ambulance
- Lansing, MI
National Provider Identifier
1548291933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 331003
- Legal business name
- CITY OF LANSING
- Doing business as
- City of Lansing Fire Department
- Practice address
- 120 E Shiawassee St
Lansing, MI 48933-1219 - Phone
- (517) 483-5155
- NPI assigned
- Jul 5, 2006
- Last updated
- May 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Loy G Lack
- Title
- EMS Captain
- Phone
- (517) 483-5155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 331003 | MI | Primary |
Addresses
Primary practice location
120 E Shiawassee St
Lansing, MI 48933-1219
Mailing address
PO Box 674091
Detroit, MI 48267-0001
Phone (517) 483-5155
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590009545 | Other | RAILROAD MEDICARE | |
| 590C30149 | Other | MI | BLUE CROSS BLUE SHIELD |
| 2829235 | Medicaid | MI | |
| 200000000497 | Other | MI | PHP |
Other names 1
- CITY OF LANSING FIRE DEPARTMENT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040913000678 | MI | Part B Supplier - Ambulance Service Supplier | 7416924188 | Practice locations: Lansing, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1046572 | Lansing Fire Department | Certificate of waiver | Oct 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
120 E Shiawassee St
Lansing, MI 48933
Phone (517) 483-4200
5135 Pleasant Grove Rd
Lansing, MI 48911
Phone (517) 393-4556
520 Glendale Ave
Lansing, MI 48910
Phone (517) 483-4559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778025600000",
"number": "1548291933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 674091",
"city": "DETROIT",
"state": "MI",
"postal_code": "482670001",
"telephone_number": "517-483-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E SHIAWASSEE ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489331219",
"telephone_number": "517-483-5155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF LANSING",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A",
"authorized_official_last_name": "LACK",
"authorized_official_first_name": "LOY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "EMS CAPTAIN",
"authorized_official_telephone_number": "517-483-5155"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MI",
"license": "331003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590009545",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "590C30149",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2829235",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "200000000497",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CITY OF LANSING FIRE DEPARTMENT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.