Charter Township of Shelby

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

085655 Issued in MI

Legal business name

CHARTER TOWNSHIP OF SHELBY

Practice address

6345 23 Mile Rd
Shelby Township, MI 48316-4405

Phone

(586) 731-3476

Fax

(586) 726-4553

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Warren Happell

Title

EMS Coordinator

Phone

(586) 726-2705

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shelby Township 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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1972541563",
    "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": "734-479-6300",
            "fax_number": "734-479-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 23 MILE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483164405",
            "telephone_number": "586-731-3476",
            "fax_number": "586-726-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER TOWNSHIP OF SHELBY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "HAPPELL",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "586-726-2705"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "085655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184104774",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelby Township Fire Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Shelby Township Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tionna Chantel Chambliss
• Edna Chang, LLP
• Elizabeth Marie Chapp, NP-C
• David Patrick Charbeneau, OD
• Charles G Shermetaro, OD, PLLC
• Tracey Chartier, LMSW CSW
• Alyssa Chase
• Elina Chavez
• Erica Chavez, LPC
• Cheryl D Lerchin MD PLC

• Land Ambulance in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Land Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.