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WAYNE COUNTY AIRPORT AUTHORITY
NPI 1194769828
Ambulance in Detroit, MI

Active since June 15, 2006CLIA 23D1068497 · Waiver
DETROIT METRO WILLOW RUN, DETROIT, MI 48242(734) 247-7364(734) 942-3667 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 23, 2022, Feb 14, 2022 (2 updates tracked since 2022).

About Wayne County Airport Authority NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYNE COUNTY AIRPORT AUTHORITY (NPI 1194769828) is a healthcare organization registered as an ambulance in Detroit, Michigan and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Glen O'such, Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1194769828
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameWAYNE COUNTY AIRPORT AUTHORITY
Location AddressDETROIT METRO WILLOW RUNDetroit, MI 48242
Mailing Address11050 Rogell Dr # 602Detroit, MI 48242-1144 · (734) 942-3602 · Fax (734) 247-7332
Phone(734) 247-7364
Fax(734) 942-3667
Organization SubpartNo
Authorized OfficialGlen O'suchFire Chief · (734) 942-3602
Enumeration DateJune 15, 2006
Last NPPES UpdateFebruary 23, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2022
✔ NPI 1194769828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in MI · 821065
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
DETROIT METRO WILLOW RUN, Detroit, MI 48242
Open in Google Maps ↗

Other Identifiers 2

Medicaid184590433MI
OtherP00146362MI · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1068497

Wayne County Airport Authority Fire Department · Detroit, MI
Active · expires May 13, 2027
CLIA Number23D1068497
Laboratory TypeAmbulance
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorGlenn O Such
Laboratory Phone(734) 942-3602
Laboratory LocationWayne County Airport Authority Fire DepartmentWest Service Drive Bldg 509, Detroit, MI 48242
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
637 services86 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
68 services68 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
18 services15 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wayne County Airport Authority's NPI number?

The NPI number for Wayne County Airport Authority is 1194769828. It was assigned to this organization in the NPPES registry on June 15, 2006.

Where is Wayne County Airport Authority located?

Wayne County Airport Authority is located at Detroit Metro Willow Run, Detroit, MI 48242. The listed phone number is (734) 247-7364.

What is Wayne County Airport Authority's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Wayne County Airport Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1068497) is associated with this NPI, valid through May 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wayne County Airport Authority accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Wayne County Airport Authority as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wayne County Airport Authority was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.