# CITY OF SOUTHFIELD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southfield Fire Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730119504
- **Authorized official:** MR. THOMAS RICHARD COLOMBO PARAMEDIC-IC (CAPTAIN/ PARAMEDIC COORDINATOR)
- **Authorized official phone:** (248) 796-5608

## Contact information

- **Practice address:** 24477 LAHSER RD, SOUTHFIELD, MI 48034-6042
- **Practice address phone:** (248) 796-5608
- **Practice address fax:** (248) 796-5605
- **Mailing address:** PO BOX 2055, SOUTHFIELD, MI 48037-2055
- **Mailing address phone:** (248) 796-5650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 631018 | MI | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 12/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | P00208625 | RAILROAD MEDICARE | MI |