Organization Active NPI

MN Group Inc

  • Ambulance
  • Romulus, MI
National Provider Identifier
1619964517
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
382806532 Issued in MI
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

Updated by the provider on Jun 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1975810MedicaidMI

Other names 1

  • Medic One Ambulance Service Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.