Healthcare Provider Details
I. General information
NPI: 1609346337
Provider Name (Legal Business Name): FIRST RESPONSE EMT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/26/2018
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
26103 SHERWOOD AVE
WARREN MI
48091-4165
US
IV. Provider business mailing address
26103 SHERWOOD AVE
WARREN MI
48091-4165
US
V. Phone/Fax
- Phone: 833-633-3367
- Fax: 313-666-0768
- Phone: 833-633-3367
- Fax: 313-666-0768
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
ANTHONY
SINGLETON
SR.
Title or Position: PRESIDENT
Credential:
Phone: 313-782-5008