City of Southgate

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

821069 Issued in MI

Legal business name

CITY OF SOUTHGATE

Doing business as

Southgate Fire Department

Practice address

14400 Dix Toledo Rd
Southgate, MI 48195-2581

Phone

(734) 258-3080

NPI assigned

May 28, 2009

Last updated

May 28, 2009By 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

Mr. Doug Gildner

Title

Fire Chief

Phone

(734) 658-7691

Specialties & licenses 1

Addresses

Other names 1

• Southgate Fire Department Doing business as

Locations

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1548495989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952581",
            "telephone_number": "734-258-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952581",
            "telephone_number": "734-258-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SOUTHGATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "GILDNER",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "734-658-7691",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MI",
            "license": "821069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southgate Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald Ray Cisco Jr., B.A. S.S.T.
• Lindsey Cisse, LMSW
• City Medical
• City Medical Chiropractic PLLC
• City Medical P C
• Charlotte Clapham, MSW, LMSW
• Amanda Clark
• Carol Clark
• Kendra Clark
• Shantell Clark, MSW

• Public Health or Welfare Agency in Southgate, MI
• Providers in Southgate, MI by specialty
• Public Health or Welfare Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.