Organization Active NPI

City of Adrian

Doing business as Adrian Fire Department

  • Land Ambulance
  • Adrian, MI
National Provider Identifier
1740621846
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
461023 Issued in MI
Legal business name
CITY OF ADRIAN
Doing business as
Adrian Fire Department
Practice address
208 S Main St
Adrian, MI 49221-2615
Phone
(517) 264-4856
Fax
(517) 264-2782
NPI assigned
Jul 17, 2013
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Aric Massingill
Title
Fire Chief
Phone
(517) 264-4879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 461023 MI Primary

Addresses

Primary practice location

208 S Main St
Adrian, MI 49221-2615

Mailing address

PO Box 2122
Riverview, MI 48193-1122
Phone (734) 479-6300

Other names 1

  • Adrian 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
O20131107000287 MI Part B Supplier - Ambulance Service Supplier 8224263884 Practice locations: Adrian, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1041483Adrian Fire Department208 S Main Street, Adrian, MI 49221Certificate of waiverJun 5, 2027

National Provider Directory

National Provider Directory

Locations

208 S Main St
Adrian, MI 49221
Phone (517) 264-4856

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1740621846",
    "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": "208 S MAIN ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212615",
            "telephone_number": "517-264-4856",
            "fax_number": "517-264-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ADRIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "MASSINGILL",
        "authorized_official_first_name": "ARIC",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "517-264-4879"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "461023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adrian 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 May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.