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
StateLicense IDTaxonomies
MI71X979341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOH2011Medicare ID - Type Unspecified