Provider Demographics
NPI: | 1881638088 |
---|---|
Name: | CITY OF HAMTRAMCK |
Entity Type: | Organization |
Organization Name: | CITY OF HAMTRAMCK |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CHIEF |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JAMES |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SZAFARCZYK |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 313-876-7760 |
Mailing Address - Street 1: | P.O. BOX 20122 |
Mailing Address - Street 2: | |
Mailing Address - City: | RIVERVIEW |
Mailing Address - State: | MI |
Mailing Address - Zip Code: | 48193 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 800-926-6985 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2625 CANIFF ST |
Practice Address - Street 2: | |
Practice Address - City: | HAMTRAMCK |
Practice Address - State: | MI |
Practice Address - Zip Code: | 48212-4900 |
Practice Address - Country: | US |
Practice Address - Phone: | 313-876-7760 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-06-16 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MI | 71X979 | 341600000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 341600000X | Transportation Services | Ambulance |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
MI | OH2011 | Medicare ID - Type Unspecified |