WALLED LAKE FIRE DEPARTMENT
NPI 1730326125
Ambulance - Land Transport in Walled Lake, MI

Active since January 07, 2009CLIA 23D1096479 · Waiver
1499 E WEST MAPLE RD, WALLED LAKE, MI 48390(248) 624-2088(248) 926-9630 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walled Lake Fire Department NPPES

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

WALLED LAKE FIRE DEPARTMENT (NPI 1730326125) is a healthcare organization registered as a land transport in Walled Lake, Michigan and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through March 4, 2027 and lists Jason Gonzalez, Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1730326125
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCITY OF WALLED LAKE
Location Address1499 E WEST MAPLE RDWalled Lake, MI 48390-3732
Mailing Address1499 E West Maple RdWalled Lake, MI 48390-3732 · (248) 624-2088 · Fax (248) 926-9630
Fax(248) 926-9630
Organization SubpartNo
Authorized OfficialJason GonzalezFire Chief · (248) 863-6619
Enumeration DateJanuary 7, 2009
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
NPI 1730326125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License Licensed in MI · 631066
1499 E WEST MAPLE RD, Walled Lake, MI 48390

Other Names 1

Doing Business AsWalled Lake Fire Department

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 23D1096479

City Of Walled Lake Fire Department · Walled Lake, MI
Active · expires Mar 4, 2027
CLIA Number23D1096479
Laboratory TypeAmbulance
Certificate Effective DateMarch 5, 2025
Certificate Expiration DateMarch 4, 2027
Laboratory DirectorKenneth Van Sparrentak
Laboratory Phone(248) 624-2088
Laboratory LocationCity Of Walled Lake Fire Department1499 E West Maple, Walled Lake, MI 48390
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
214 services38 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.
40 services35 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 City Of Walled Lake's NPI number?

The NPI number for City Of Walled Lake is 1730326125. It was assigned to this organization in the NPPES registry on January 7, 2009. The provider is doing business as Walled Lake Fire Department.

Where is City Of Walled Lake located?

City Of Walled Lake is located at 1499 E West Maple Rd, Walled Lake, MI 48390. The listed phone number is (248) 624-2088.

What is City Of Walled Lake's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does City Of Walled Lake hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1096479) is associated with this NPI, valid through March 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for City Of Walled Lake was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.