Active NPI
City of Fraser
- Land Ambulance
- Fraser, MI
National Provider Identifier
1679517197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2023
- 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
- John Gillies
- Title
- Captain/Fire Division Commander
- Phone
- (586) 293-2000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183004649 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120306000074 | MI | Part B Supplier - Ambulance Service Supplier | 6608035076 | Practice locations: Fraser, MI |
National Provider Directory
National Provider DirectoryLocations
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
- Center of Natural Therapies PC
- Chism Chiropractic Clinic PC
- Deepti Rose Chorath
- Christopher Charles Harris, Professional Corporation (CCHARRIS Professional Counseling Services)
- Megan Cicotte
- Clearview Home Health Care LLC
- Luis Collazo, MD
- Gwenesia S Collins, PHARM D
- Community Dental Care P.C.
- Concentra Health Services, Inc.
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.