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CITY OF ST. CLAIR SHORES NPI 1174561104


NPI Information

NPI: 1174561104
Provider Name: CITY OF ST. CLAIR SHORES

Doing Business As: ST. CLAIR SHORES FIRE DEPARTMENT

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 23D1081812

Address:
26700 HARPER AVENUE
ST. CLAIR SHORES, MI
ZIP 48081
Phone: (586) 445-5380
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CITY OF ST. CLAIR SHORES is a land transport ambulance in St. Clair Shores, MI. CITY OF ST. CLAIR SHORES NPI is 1174561104. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Clair Shores Fire Department.

The provider's business location address is:

26700 HARPER AVENUE
ST. CLAIR SHORES, MI
ZIP 48081-953
Phone: (586) 445-5380

The provider's authorized official is James Piper .
The authorized official title is Fire Chief and has the following contact phone number (586) 445-5380.

The CLIA number assigned to this NPI record is 23D1081812 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 7/21/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand TransportYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1183000846MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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