Organization Active NPI

Michigan Services Network Inc

  • Multi-Specialty Clinic/Center
  • Pontiac, MI
National Provider Identifier
1821002734
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MICHIGAN SERVICES NETWORK INC
Practice address
31 Oakland Ave
Suite C
Pontiac, MI 48342-2019
Phone
(313) 459-5499
Fax
(501) 636-5236
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Fidel Rodriguez
Title
Director
Phone
(313) 459-5499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

31 Oakland Ave
Suite C
Pontiac, MI 48342-2019

Mailing address

31 Oakland Ave
Suite C
Pontiac, MI 48342-2019
Phone (313) 459-5499

National Provider Directory

National Provider Directory

Locations

31 Oakland Ave
Ste C
Pontiac, MI 48342
Phone (313) 459-5499

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821002734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OAKLAND AVE",
            "address_2": "SUITE C",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422019",
            "telephone_number": "313-459-5499",
            "fax_number": "501-636-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 OAKLAND AVE",
            "address_2": "SUITE C",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422019",
            "telephone_number": "313-459-5499",
            "fax_number": "501-636-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SERVICES NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "FIDEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-459-5499"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.