Charter Township of Oxford
Organization Active NPI Land Ambulance · Oxford, MI
NPI 1619048865 · NPPES record last updated Oct 23, 2024
Key facts
- NPI
- 1619048865
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 631033 (MI)
- Legal business name
- CHARTER TOWNSHIP OF OXFORD
- Practice address
- 96 N Washington St
Oxford, MI 48371-4668 - Phone
- (248) 969-9483
- Fax
- (248) 969-9489
- NPI assigned
- Nov 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Matthew Majestic
- Title
- Fire Chief
- Phone
- (248) 969-9483
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060503000261 | MI | Part B Supplier - Ambulance Service Supplier | 0244240356 | Practice locations: Oxford, MI |
National Provider Directory
Locations
96 N Washington St
Oxford, MI 48371
Phone (248) 969-9483
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 631033 | MI | Yes |
Addresses
Primary practice location
96 N Washington St
Oxford, MI 48371-4668
Mailing address
96 N Washington
PO Box 911
Oxford, MI 48371
Phone (248) 969-9483
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59-0-F3-33470 | Other | MI | BLUE CROSS BLUE SHIELD |
| 18-4867594 | Medicaid | MI |
Other providers in Oxford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.