Active NPI
City of Taylor
- Land Ambulance
- Taylor, MI
National Provider Identifier
1790724656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 821026
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183005430 | Medicaid | MI | |
| 590013724 | Other | MI | RAILROAD MEDICARE |
| 590H201190 | Other | MI | BCBS OF MICHIGAN |
Other names 1
- Taylor Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050915000671 | MI | Part B Supplier - Ambulance Service Supplier | 9537192992 | Practice locations: Taylor, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1090517 | City of Taylor Fire Department | Certificate of waiver | Aug 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.