Organization Active NPI

City of Taylor

  • Land Ambulance
  • Taylor, MI
National Provider Identifier
1790724656
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
821026 Issued in MI
Legal business name
CITY OF TAYLOR
Practice address
23345 Goddard Rd
Taylor, MI 48180-4163
Phone
(734) 374-1660
Fax
(734) 374-2742
NPI assigned
Jun 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steve Douglas Portis
Title
Fire Chief
Phone
(734) 374-1355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 821026 MI Primary

Addresses

Primary practice location

23345 Goddard Rd
Taylor, MI 48180-4163

Mailing address

23345 Goddard Rd
Taylor, MI 48180-4163
Phone (877) 200-1191

Other identifiers 3

IdentifierTypeStateIssuer
183005430MedicaidMI
590013724OtherMIRAILROAD MEDICARE
590H201190OtherMIBCBS OF MICHIGAN

Other names 1

  • Taylor Fire Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050915000671 MI Part B Supplier - Ambulance Service Supplier 9537192992 Practice locations: Taylor, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1090517City of Taylor Fire Department23345 Goddard Road, Taylor, MI 48180Certificate of waiverAug 18, 2027

National Provider Directory

National Provider Directory

Locations

25303 Ecorse Rd
Taylor, MI 48180
Phone (734) 374-1355

11101 Pine St
Taylor, MI 48180
Phone (734) 374-1660

23345 Goddard Rd
Taylor, MI 48180
Phone (734) 374-1355

23747 Eureka Rd
Taylor, MI 48180
Phone (734) 374-1355

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1790724656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23345 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804163",
            "telephone_number": "877-200-1191",
            "fax_number": "336-510-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23345 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804163",
            "telephone_number": "734-374-1660",
            "fax_number": "734-374-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF TAYLOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "PORTIS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "734-374-1355"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "821026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183005430",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013724",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "590H201190",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Taylor Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.