MEDICARE: MOBILE MEDICAL RESPONSE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	731021	MI
2	341600000X	Ambulance		MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590G301170	OTHER	MI	BCBSM
2	590009059	OTHER	MI	PALMETTO GBA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	731021	OTHER	MI	LICENSE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306887260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOBILE MEDICAL RESPONSE INC

Provider Business Mailing Address
First Line	:	4305 STATE ST
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48603-4068
Country	:	US
Telephone Number	:	989-758-2900
Fax Number	:

Provider Business Practice Location Address
First Line	:	834 S WASHINGTON AVE
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48601-2566
Country	:	US
Telephone Number	:	989-758-2900
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LAURIE THIEL
Credential	:
Telephone Number	:	989-907-2040

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	12/12/2025

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Directions to “MOBILE MEDICAL RESPONSE INC ” Practice Location

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