Active NPI
City of Dearborn Heights
- Ambulance
- Dearborn Heights, MI
National Provider Identifier
1811010416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 821004
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183001137 | Medicaid | MI | |
| 590H200530 | Other | MI | BLUE CROSS BLUE SHIELD |
Other names 1
- DEARBORN HEIGHTS FIRE DEPARTMENT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120327000265 | MI | Part B Supplier - Ambulance Service Supplier | 5991965121 | Practice locations: Dearborn Heights, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1067288 | City of Dearborn Heights Fire | Certificate of waiver | Apr 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.