VILLAGE OF GROSSE POINTE SHORES NPI 1871662791

NPI Information

NPI: 1871662791
Provider Name: VILLAGE OF GROSSE POINTE SHORES

Doing Business As: GROSSE POINTE SHORES DPS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
795 LAKE SHORE RD
GROSSE POINTE SHORES, MI
ZIP 48236
Phone: (313) 881-5500
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VILLAGE OF GROSSE POINTE SHORES is a land transport ambulance in Grosse Pointe Shores, MI. VILLAGE OF GROSSE POINTE SHORES NPI is 1871662791. The provider is registered as an organization entity type.
The provider Is Doing Business As Grosse Pointe Shores Dps.

The provider's business location address is:

795 LAKE SHORE RD
GROSSE POINTE SHORES, MI
ZIP 48236-455
Phone: (313) 881-5500
Fax: (313) 640-1661

The provider's authorized official is Kenneth V Werenski .
The authorized official title is Director Of Dps and has the following contact phone number (313) 881-5501.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 12/14/2022.

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
1	341600000X	Ambulance		821012	MICHIGAN	No
2	3416L0300X	Ambulance	Land Transport			Yes

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
1	18-4258028	MEDICAID	MICHIGAN

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: 5/5/2024

NPI Synchronization or Removal

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