Active NPI
Charter Township of Canton
- Land Ambulance
- Canton, MI
National Provider Identifier
1669416947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CHARTER TOWNSHIP OF CANTON
- Practice address
- 1150 S Canton Center Rd
Canton, MI 48188-1608 - Phone
- (734) 394-5455
- NPI assigned
- Jun 16, 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
- Christopher Stoecklein
- Title
- Fire Chief
- Phone
- (734) 394-5457
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | MI | ||
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1150 S Canton Center Rd
Canton, MI 48188-1608
Mailing address
1150 S Canton Center Rd
Canton, MI 48188-1608
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59OH200950 | Other | MI | BCBSM |
| 18-2734409 | Medicaid | MI | |
| 590045317 | Other | MI | RAILROAD MEDICARE |
Other names 1
- Canton Twp 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 |
|---|---|---|---|---|
| O20120215000054 | MI | Part B Supplier - Ambulance Service Supplier | 1850559295 | Practice locations: Canton, MI |
National Provider Directory
National Provider Directory- Tax ID family
- Charter Township of Canton
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Respite Care Camp
- Canton, MI
- NPI 1548639420
Locations
1150 S Canton Center Rd
Canton, MI 48188
Phone (734) 394-5455
520 N Denton Rd
Canton, MI 48187
Phone (734) 394-5455
1100 S Canton Center Rd
Canton, MI 48188
Phone (734) 394-5455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726704000000",
"number": "1669416947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 S CANTON CENTER RD",
"city": "CANTON",
"state": "MI",
"postal_code": "481881608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 S CANTON CENTER RD",
"city": "CANTON",
"state": "MI",
"postal_code": "481881608",
"telephone_number": "734-394-5455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARTER TOWNSHIP OF CANTON",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A",
"authorized_official_last_name": "STOECKLEIN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "734-394-5457"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "59OH200950",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18-2734409",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590045317",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Canton Twp Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.