Provider Demographics
NPI:1346282183
Name:CITY OF DEARBORN
Entity type:Organization
Organization Name:CITY OF DEARBORN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:BEGEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-943-2016
Mailing Address - Street 1:3750 GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48120-1205
Mailing Address - Country:US
Mailing Address - Phone:313-943-2016
Mailing Address - Fax:
Practice Address - Street 1:3750 GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48120-1205
Practice Address - Country:US
Practice Address - Phone:313-943-2016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI183000686Medicaid
MI590004630OtherRR MEDICARE
MI590H200540OtherBCBS