MEDICARE: CITY OF STERLING 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
1	261QC1500X	Community Health Clinic/Center
2	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669618989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF STERLING HEIGHTS

Provider Business Mailing Address
First Line	:	41625 RYAN RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-3945
Country	:	US
Telephone Number	:
Fax Number	:	336-510-5894

Provider Business Practice Location Address
First Line	:	41625 RYAN RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-3945
Country	:	US
Telephone Number	:	270-727-0450
Fax Number	:	586-726-7007

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	KEVIN EDMOND
Credential	:
Telephone Number	:	586-446-2950

Provider Enumeration Date	:	12/17/2008
Last Update Date	:	09/04/2025

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Directions to “CITY OF STERLING HEIGHTS ” Practice Location

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