City of Hazel Park

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF HAZEL PARK

Practice address

22830 Russell Ave
Hazel Park, MI 48030-1819

Phone

(248) 542-6000

Fax

(248) 546-4086

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Walker

Title

Fire Chief

Phone

(248) 542-6000

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Hazel Park Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1689610693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 9 MILE RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301814",
            "telephone_number": "248-542-6000",
            "fax_number": "248-546-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22830 RUSSELL AVE",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301819",
            "telephone_number": "248-542-6000",
            "fax_number": "248-546-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HAZEL PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "248-542-6000"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "631007",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183002887",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "590F300320",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hazel Park Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hazel Park Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Yon Chang, M.D.
• Jose Cyriac Chazhikat, P.T.
• Sindhu Jose Chazhikat, P.T.
• Childrens Dental Program PLLC
• Childrens Dental Specialists of Hazel Park PLLC
• Jillian Clark, MA
• Matthew Cleary Jr.
• Compassionate Growth Counseling PLLC
• Heather Marie Craft
• Patrycja Izabella Czesnowski, M.D.

• All providers in Hazel Park, MI
• Land Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.