NPI 1194769828

Wayne County Airport Authority

Organisation Ambulance Detroit, MI

Practice location

Address: Detroit Metro Willow Run, Detroit, MI 48242
Phone: (734) 247-7364
Fax: (734) 942-3667
Mailing address: 11050 Rogell Dr # 602, Detroit, MI 48242-1144

Authorised official

Name: Glen O'Such
Title: Fire Chief
Phone: (734) 942-3602

Registered specialties

Ambulance Primary

Transportation Services Taxonomy 341600000X Licence 821065 (MI)

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Registry record

NPI: 1194769828
Entity type: Organization
NPI issued: 15 Jun 2006
Record last updated: 23 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.