Organization Active NPI

Charter Township of Madison Lenawee Co

  • Land Ambulance
  • Adrian, MI
National Provider Identifier
1689626848
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CHARTER TOWNSHIP OF MADISON LENAWEE CO
Practice address
4008 S Adrian Hwy
Adrian, MI 49221-8723
Phone
(517) 265-6560
Fax
(517) 263-0108
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Nicholas J Wilson
Title
Fire Chief
Phone
(517) 265-6560

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 461004 MI
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

4008 S Adrian Hwy
Adrian, MI 49221-8723

Mailing address

4008 S Adrian Hwy
Adrian, MI 49221-8808
Phone (270) 727-0450

Other identifiers 6

IdentifierTypeStateIssuer
AN0499OtherMISELECT CARE
590D600240OtherMIBLUE CROSS
606493200OtherMIUSPS WORKERS COMPENSATION
81-29089OtherMIPHYSICIAN HEALTH PLANS
3004685MedicaidMI
50675OtherMICOMMUNITY CHOICE MICHIGAN

Other names 1

  • Madison Township 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
O20070714000033 MI Part B Supplier - Ambulance Service Supplier 2769582162 Practice locations: Adrian, MI

National Provider Directory

National Provider Directory

Locations

4008 S Adrian Hwy
Adrian, MI 49221
Phone (517) 265-6560

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1689626848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 S ADRIAN HWY",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492218808",
            "telephone_number": "270-727-0450",
            "fax_number": "336-510-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 S ADRIAN HWY",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492218723",
            "telephone_number": "517-265-6560",
            "fax_number": "517-263-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER TOWNSHIP OF MADISON LENAWEE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "517-265-6560"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "461004",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT CARE",
            "identifier": "AN0499",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "590D600240",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USPS WORKERS COMPENSATION",
            "identifier": "606493200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN HEALTH PLANS",
            "identifier": "81-29089",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004685",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CHOICE MICHIGAN",
            "identifier": "50675",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Madison Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.