NPIMap

Organization Active NPI

Washington Township

  • Land Ambulance
  • Washington, MI
National Provider Identifier
1881818912
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WASHINGTON TOWNSHIP
Practice address
11300 27 Mile Rd
Washington, MI 48094-3955
Phone
(586) 781-6161
Fax
(586) 781-2562
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Authorized official

Name
Brian S Tyrell
Title
Fire Chief
Phone
(586) 781-6161

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 341600000X MI
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

11300 27 Mile Rd
Washington, MI 48094-3955

Mailing address

PO Box 2122
Riverview, MI 48193-1122
Phone (800) 826-6985

Other identifiers 1

IdentifierTypeStateIssuer
183004148MedicaidMI

Other names 1

  • Washington Township Fire Department Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071102000156 MI Part B Supplier - Ambulance Service Supplier 6800983156 Practice locations: Washington, 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
23D1067620Washington Township Fire Dept11300 27 Mile Road, Washington Township, MI 48094Certificate of waiverApr 22, 2027

National Provider Directory

National Provider Directory

Locations

8100 Wicker
Washington, MI 48094
Phone (586) 781-6161

11300 27 Mile Rd
Washington Twp, MI 48094
Phone (586) 781-6161

11285 30 Mile Rd
Washington Twp, MI 48095
Phone (586) 752-4511

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1881818912",
    "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": "800-826-6985",
            "fax_number": "734-479-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 27 MILE RD",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480943955",
            "telephone_number": "586-781-6161",
            "fax_number": "586-781-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "TYRELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "586-781-6161"
    },
    "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183004148",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Township Fire Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Washington Township Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.