Healthcare Provider Details

I. General information

NPI: 1790724656
Provider Name (Legal Business Name): CITY OF TAYLOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 03/03/2023
Certification Date: 03/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23345 GODDARD RD
TAYLOR MI
48180-4163
US

IV. Provider business mailing address

PO BOX 2122
RIVERVIEW MI
48193-1122
US

V. Phone/Fax

Practice location:
  • Phone: 734-374-1660
  • Fax: 734-374-2742
Mailing address:
  • Phone: 800-926-6985
  • Fax: 734-479-6319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number821026
License Number StateMI

VIII. Authorized Official

Name: STEVE DOUGLAS PORTIS
Title or Position: FIRE CHIEF
Credential:
Phone: 734-374-1355