Organization Active NPI

City of Royal Oak

  • Land Ambulance
  • Royal Oak, MI
National Provider Identifier
1982640652
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
341600000X Issued in MI
Legal business name
CITY OF ROYAL OAK
Practice address
215 E 6TH St
Royal Oak, MI 48067-2623
Phone
(248) 246-3816
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
James Patrick Cook
Title
Assistant Chief
Phone
(248) 246-3800

Specialties & licenses 1

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

Addresses

Primary practice location

215 E 6TH St
Royal Oak, MI 48067-2623

Mailing address

211 S Williams St
Royal Oak, MI 48067-2619
Phone (248) 246-3800

Other identifiers 1

IdentifierTypeStateIssuer
183144167MedicaidMI

Other names 1

  • Royal Oak 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
O20120504000380 MI Part B Supplier - Ambulance Service Supplier 8123280328 Practice locations: Royal Oak, MI

National Provider Directory

National Provider Directory

Locations

211 S Williams St
Royal Oak, MI 48067

3128 Rochester Rd
Royal Oak, MI 48073
Phone (248) 246-3800

31000 Woodward Ave
Royal Oak, MI 48073
Phone (248) 246-3800

203 S Troy St
Royal Oak, MI 48067

215 E 6th St
Royal Oak, MI 48067
Phone (248) 246-3800

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1982640652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S WILLIAMS ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672619",
            "telephone_number": "248-246-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 6TH ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672623",
            "telephone_number": "248-246-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ROYAL OAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "248-246-3800"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "341600000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183144167",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Oak Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.