WAYNE COUNTY AIRPORT AUTHORITY NPI 1194769828

NPI Information

  • NPI: 1194769828
  • Provider Name: WAYNE COUNTY AIRPORT AUTHORITY
  • Classification: Ambulance - 341600000X
  • Entity Type: Organization
  • CLIA Number: 23D1068497
  • Address: DETROIT METRO WILLOW RUN
    DETROIT, MI
    ZIP 48242
  • Phone: (734) 247-7364

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NPI Details

WAYNE COUNTY AIRPORT AUTHORITY is an ambulance in Detroit, MI. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). WAYNE COUNTY AIRPORT AUTHORITY NPI is 1194769828. The provider is registered as an organization entity type.

The provider's business location address is:

DETROIT METRO WILLOW RUN
DETROIT, MI
ZIP 48242
Phone: (734) 247-7364
Fax: (734) 942-3667

The provider's authorized official is Glen O'such .
The authorized official title is Fire Chief and has the following contact phone number (734) 942-3602.

The CLIA number assigned to this NPI record is 23D1068497 - ambulance with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)

The enumeration date for this NPI number is 6/15/2006 and was last updated on 2/23/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1341600000XAmbulance821065MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1184590433MEDICAIDMICHIGAN
2P00146362OTHERMICHIGANRR MEDICARE

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: 11/21/2025

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