Organization Active NPI

City of Allen Park

Doing business as Allen Park Fire Department

  • Land Ambulance
  • Allen Park, MI
National Provider Identifier
1821176926
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
821032 Issued in MI
Legal business name
CITY OF ALLEN PARK
Doing business as
Allen Park Fire Department
Practice address
6730 Roosevelt Avenue
Allen Park, MI 48101-2529
Phone
(313) 928-0024
Fax
(313) 928-1654
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Jeffery J O'Riley
Title
Fire Chief
Phone
(313) 928-1103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 821032 MI Primary

Addresses

Primary practice location

6730 Roosevelt Avenue
Allen Park, MI 48101-2529

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
183407885MedicaidMI

Other names 1

  • Allen Park 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
O20101110001080 MI Part B Supplier - Ambulance Service Supplier 5395930846 Practice locations: Allen Park, 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
23D1093258Allen Park Fire Department6730 Roosevelt Avenue, Allen Park, MI 48101Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory

Locations

16850 Southfield Rd
Allen Park, MI 48101

6730 Roosevelt Ave
Allen Park, MI 48101
Phone (313) 928-0024

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1821176926",
    "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": "6730 ROOSEVELT AVENUE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012529",
            "telephone_number": "313-928-0024",
            "fax_number": "313-928-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ALLEN PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "O'RILEY",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "313-928-1103"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "821032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183407885",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allen Park Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.