Active NPI
City of Trenton
- Ambulance
- Trenton, MI
National Provider Identifier
1558449751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CITY OF TRENTON
- Practice address
- 1989 King Rd
Trenton, MI 48183-1107 - Phone
- (734) 676-1314
- Fax
- (734) 675-5740
- NPI assigned
- Nov 2, 2006
- 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
- Jason Martyniak
- Title
- Deputy Fire Chief/EMS Coordinator
- Phone
- (734) 933-0434
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 71X543 | MI | |
| Ambulance | 341600000X | 75X071 | MI | |
| Ambulance | 341600000X | MI | Primary |
Addresses
Primary practice location
1989 King Rd
Trenton, MI 48183-1107
Mailing address
PO Box 2122
Riverview, MI 48193-1122
Phone (734) 479-6300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181983393 | Medicaid | MI | |
| 590H201030 | Other | MI | BLUE CROSS |
Other names 1
- Trenton 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 |
|---|---|---|---|---|
| O20120725000879 | MI | Part B Supplier - Ambulance Service Supplier | 5496911042 | Practice locations: Trenton, 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 |
|---|---|---|---|
| 23D1067808 | Trenton Fire Department | Certificate of waiver | Apr 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
1989 King Rd
Trenton, MI 48183
Phone (313) 675-7200
2872 W Jefferson Ave
Trenton, MI 48183
Phone 73467613144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674086400000",
"number": "1558449751",
"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": "1989 KING RD",
"city": "TRENTON",
"state": "MI",
"postal_code": "481831107",
"telephone_number": "734-676-1314",
"fax_number": "734-675-5740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF TRENTON",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A",
"authorized_official_last_name": "MARTYNIAK",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "DEPUTY FIRE CHIEF/EMS COORDINATOR",
"authorized_official_telephone_number": "734-933-0434"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MI",
"license": "71X543",
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MI",
"license": "75X071",
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181983393",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "590H201030",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Trenton Fire Department",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Trenton Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Trenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.