Organization Active NPI

City of Farmington Hills

  • Land Ambulance
  • Farmington Hills, MI
National Provider Identifier
1740221688
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
631004 Issued in MI
Legal business name
CITY OF FARMINGTON HILLS
Practice address
31455 W 11 Mile Rd
Farmington Hills, MI 48336-1101
Phone
(248) 871-2800
Fax
(248) 871-2801
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Jon Unruh
Title
Fire Chief
Phone
(248) 871-2809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 631004 MI Primary

Addresses

Primary practice location

31455 W 11 Mile Rd
Farmington Hills, MI 48336-1101

Mailing address

31455 W 11 Mile Rd
Farmington Hills, MI 48336-1101
Phone (248) 871-2800

Other identifiers 1

IdentifierTypeStateIssuer
3450160MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120611000706 MI Part B Supplier - Ambulance Service Supplier 6103080791 Practice locations: Farmington Hills, MI

National Provider Directory

National Provider Directory

Locations

31555 W 11 Mile Rd
Farmington Hills, MI 48336

28225 Middlebelt Rd
Farmington Hills, MI 48334
Phone (248) 871-2800

31455 W 11 Mile Rd
Farmington Hills, MI 48336
Phone (248) 871-2800

29260 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 871-2800

35725 W 9 Mile Rd
Farmington Hills, MI 48335
Phone (248) 871-2800

28711 Drake Rd
Farmington Hills, MI 48331
Phone (248) 871-2800

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1740221688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31455 W 11 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361101",
            "telephone_number": "248-871-2800",
            "fax_number": "248-871-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31455 W 11 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361101",
            "telephone_number": "248-871-2800",
            "fax_number": "248-871-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FARMINGTON HILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "UNRUH",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "248-871-2809"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "631004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3450160",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.