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BOSWORTH URGENT CARE PC NPI 1275746091


NPI Information

NPI: 1275746091
Provider Name: BOSWORTH URGENT CARE PC

Doing Business As: BOSWORTH URGENT CARE, PC

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 23D0859340

Address:
1881 W GRAND RIVER AVE
OKEMOS, MI
ZIP 48864
Phone: (517) 339-2100
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BOSWORTH URGENT CARE PC is a non pharmacy dispensing site in Okemos, MI. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) BOSWORTH URGENT CARE PC NPI is 1275746091. The provider is registered as an organization entity type.
The provider Is Doing Business As Bosworth Urgent Care, Pc.

The provider's business location address is:

1881 W GRAND RIVER AVE
OKEMOS, MI
ZIP 48864-840
Phone: (517) 339-2100
Fax: (517) 339-4620

The provider's authorized official is Maria Cowan .
The authorized official title is Practice Manager and has the following contact phone number (517) 339-2100.

The CLIA number assigned to this NPI record is 23D0859340 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/8/2007 and was last updated on 11/23/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing Site5101014014MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12155368OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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