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NPI Code Detail

MEDICARE: CITY OF DEARBORN HEIGHTS

MEDICARE: CITY OF DEARBORN HEIGHTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1341600000XAmbulance821004MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2590H200530OTHERMIBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1811010416
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY OF DEARBORN HEIGHTS
Provider Business Mailing Address
First Line : PO BOX 2122
Second Line :
City : RIVERVIEW
State : MI
Zip : 48193-1122
Country : US
Telephone Number : 800-926-6985
Fax Number : 734-479-6319
Provider Business Practice Location Address
First Line : 1999 N BEECH DALY RD
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-3487
Country : US
Telephone Number : 313-791-3650
Fax Number : 313-791-3651
Authorized Official
Title or Position : FIRE CHIEF
Name : DAVID A BROGAN
Credential :
Telephone Number : 313-791-3650
Provider Enumeration Date : 04/09/2007
Last Update Date : 08/23/2022

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Directions to “CITY OF DEARBORN HEIGHTS ” Practice Location

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