Armada Township
Organization Active NPI Land Ambulance · Armada, MI
NPI 1891733820 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1891733820
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 501019 (MI)
- Legal business name
- ARMADA TOWNSHIP
- Practice address
- 23175 Armada Center Rd
Armada, MI 48005-2763 - Phone
- (586) 784-9464
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Stephen T Kohut
- Title
- Fire Chief
- Phone
- (586) 484-7554
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100212000486 | MI | Part B Supplier - Ambulance Service Supplier | 4981748019 | Practice locations: Armada, MI |
National Provider Directory
Locations
23175 Armada Center Rd
Armada, MI 48005
Phone (586) 784-9464
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 501019 | MI | Yes |
Addresses
Primary practice location
23175 Armada Center Rd
Armada, MI 48005-2763
Mailing address
23175 Armada Center Rd
Armada, MI 48005-2763
Phone (586) 784-9464
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181881562 | Medicaid | MI |
Other names
- Armada Fire Department EMS
Other providers in Armada, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.