City of Southfield

Primary specialty

AmbulanceTaxonomy code 341600000X

License

631018 Issued in MI

Legal business name

CITY OF SOUTHFIELD

Doing business as

Southfield Fire Department

Practice address

24477 Lahser Rd
Southfield, MI 48034-6042

Phone

(248) 796-5608

Fax

(248) 796-5605

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Richard Colombo, PARAMEDIC-IC

Title

Captain/ Paramedic Coordinator

Phone

(248) 796-5608

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southfield 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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197072000000",
    "number": "1730119504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2055",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480372055",
            "telephone_number": "248-796-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24477 LAHSER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480346042",
            "telephone_number": "248-796-5608",
            "fax_number": "248-796-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SOUTHFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-12-08",
        "status": "A",
        "authorized_official_last_name": "COLOMBO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CAPTAIN/ PARAMEDIC COORDINATOR",
        "authorized_official_telephone_number": "248-796-5608",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC-IC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "631018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00208625",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southfield Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Southfield, MI
• Providers in Southfield, MI by specialty
• Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2007; 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.