Organization Active NPI

City of Dearborn Heights

  • Ambulance
  • Dearborn Heights, MI
National Provider Identifier
1811010416
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
821004 Issued in MI
Legal business name
CITY OF DEARBORN HEIGHTS
Doing business as
DEARBORN HEIGHTS FIRE DEPARTMENT
Practice address
1999 N Beech Daly Rd
Dearborn Heights, MI 48127-3487
Phone
(313) 791-3650
Fax
(313) 791-3651
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
David A Brogan
Title
Fire Chief
Phone
(313) 791-3650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 821004 MI Primary

Addresses

Primary practice location

1999 N Beech Daly Rd
Dearborn Heights, MI 48127-3487

Mailing address

PO Box 2122
Riverview, MI 48193-1122
Phone (800) 926-6985

Other identifiers 2

IdentifierTypeStateIssuer
183001137MedicaidMI
590H200530OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • DEARBORN HEIGHTS 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
O20120327000265 MI Part B Supplier - Ambulance Service Supplier 5991965121 Practice locations: Dearborn Heights, 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
23D1067288City of Dearborn Heights Fire1999 N Beech Daly, Dearborn Heights, MI 48127Certificate of waiverApr 15, 2027

National Provider Directory

National Provider Directory

Locations

4500 S Telegraph Rd
Dearborn Heights, MI 48125
Phone (313) 791-3655

6045 Fenton St
Dearborn Heights, MI 48127

1999 N Beech Daly Rd
Dearborn Hts, MI 48127
Phone (313) 791-3650

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1811010416",
    "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": "800-926-6985",
            "fax_number": "734-479-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 N BEECH DALY RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273487",
            "telephone_number": "313-791-3650",
            "fax_number": "313-791-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DEARBORN HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "BROGAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "313-791-3650"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "821004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183001137",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "590H200530",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEARBORN HEIGHTS FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.