Active NPI
MN Group Inc
- Ambulance
- Romulus, MI
National Provider Identifier
1619964517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 382806532
- Legal business name
- MN GROUP INC
- Doing business as
- Medic One Ambulance Service
- Practice address
- 28111 Northline Rd
Romulus, MI 48174-2829 - Phone
- (734) 946-4008
- Fax
- (734) 946-4872
- NPI assigned
- Oct 5, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Glenn Talley
- Title
- President Owner
- Phone
- (734) 946-4008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 382806532 | MI | Primary |
Addresses
Primary practice location
28111 Northline Rd
Romulus, MI 48174-2829
Mailing address
PO Box 7
Taylor, MI 48180-0007
Phone (734) 946-4008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1975810 | Medicaid | MI |
Other names 1
- Medic One Ambulance Service
National Provider Directory
National Provider DirectoryLocations
28111 Northline Rd
Romulus, MI 48174
Phone (313) 271-9933
28515 Goddard Rd
Ste 100
Romulus, MI 48174
Phone (734) 946-4008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1619964517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481800007",
"telephone_number": "734-946-4008",
"fax_number": "734-946-4872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28111 NORTHLINE RD",
"city": "ROMULUS",
"state": "MI",
"postal_code": "481742829",
"telephone_number": "734-946-4008",
"fax_number": "734-946-4872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MN GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-05",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "TALLEY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "GLENN",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "734-946-4008",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MI",
"license": "382806532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1975810",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medic One Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Romulus, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.