Healthcare Provider Details

I. General information

NPI: 1811010416
Provider Name (Legal Business Name): CITY OF DEARBORN HEIGHTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 08/23/2022
Certification Date: 08/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1999 N BEECH DALY RD
DEARBORN HEIGHTS MI
48127-3487
US

IV. Provider business mailing address

PO BOX 2122
RIVERVIEW MI
48193-1122
US

V. Phone/Fax

Practice location:
  • Phone: 313-791-3650
  • Fax: 313-791-3651
Mailing address:
  • Phone: 800-926-6985
  • Fax: 734-479-6319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number821004
License Number StateMI

VIII. Authorized Official

Name: DAVID A BROGAN
Title or Position: FIRE CHIEF
Credential:
Phone: 313-791-3650