Charter Township of Independence

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CHARTER TOWNSHIP OF INDEPENDENCE

Practice address

6500 Citation Dr
Clarkston, MI 48346-2986

Phone

(248) 625-1924

Fax

(248) 625-1776

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Piche

Title

Fire Chief

Phone

(248) 625-1924

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Independence Fire Department Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1871530246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 CITATION DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462986",
            "telephone_number": "248-625-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 CITATION DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462986",
            "telephone_number": "248-625-1924",
            "fax_number": "248-625-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER TOWNSHIP OF INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "PICHE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "248-625-1924",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "341600000X",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590015476",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184237180",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "590F322300",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independence Fire Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Independence Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marie Chaney
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• Selina Chen
• Gabriella Chhabra, LLMSW
• Jacqueline Marie Chirco, D.O.
• Kong C. Choi, M.D.

• Land Ambulance in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Land Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.