Organization Active NPI

City of Fraser

  • Land Ambulance
  • Fraser, MI
National Provider Identifier
1679517197
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF FRASER
Practice address
33000 Garfield Rd
Fraser, MI 48026-1858
Phone
(586) 293-1425
NPI assigned
Jun 15, 2006
Last updated
Apr 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Gillies
Title
Captain/Fire Division Commander
Phone
(586) 293-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 341600000X MI
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

33000 Garfield Rd
Fraser, MI 48026-1858

Mailing address

PO Box 2122
Riverview, MI 48193-1122
Phone (734) 479-6300

Other identifiers 1

IdentifierTypeStateIssuer
183004649MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120306000074 MI Part B Supplier - Ambulance Service Supplier 6608035076 Practice locations: Fraser, MI

National Provider Directory

National Provider Directory

Locations

33000 Garfield Rd
Fraser, MI 48026
Phone (586) 293-1425

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1679517197",
    "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": "33000 GARFIELD RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480261858",
            "telephone_number": "586-293-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FRASER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "GILLIES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CAPTAIN/FIRE DIVISION COMMANDER",
        "authorized_official_telephone_number": "586-293-2000"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "341600000X",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183004649",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fraser, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.