Organization Active NPI

City of Grosse Pointe Park

  • Ambulance
  • Grosse Pointe Park, MI
National Provider Identifier
1780623660
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
821011 Issued in MI
Legal business name
CITY OF GROSSE POINTE PARK
Practice address
15115 E Jefferson Ave
Grosse Pointe Park, MI 48230-1312
Phone
(313) 822-7400
Fax
(313) 822-4543
NPI assigned
Jun 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Mr. David Hiller
Title
Chief
Phone
(313) 822-4416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 821011 MI Primary

Addresses

Primary practice location

15115 E Jefferson Ave
Grosse Pointe Park, MI 48230-1312

Mailing address

15115 E Jefferson Ave
Grosse Pointe Park, MI 48230-1312
Phone (313) 822-7400

Other identifiers 1

IdentifierTypeStateIssuer
183003795MedicaidMI

Other names 1

  • Grosse Pointe Park Emergency Ambulance Other name

National Provider Directory

National Provider Directory

Locations

15115 E Jefferson Ave
Grosse Pointe Park, MI 48230
Phone (313) 822-6200

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1780623660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15115 E JEFFERSON AVE",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301312",
            "telephone_number": "313-822-7400",
            "fax_number": "313-822-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15115 E JEFFERSON AVE",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301312",
            "telephone_number": "313-822-7400",
            "fax_number": "313-822-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GROSSE POINTE PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "HILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "313-822-4416",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "821011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183003795",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grosse Pointe Park Emergency Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grosse Pointe Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.