Organization Active NPI

Charter Township of Canton

  • Land Ambulance
  • Canton, MI
National Provider Identifier
1669416947
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Sep 19, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
59OH200950OtherMIBCBSM
18-2734409MedicaidMI
590045317OtherMIRAILROAD MEDICARE

Other names 1

  • Canton Twp Fire Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Canton2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.