DIX EUREKA MEDICAL CENTER PC NPI 1306029426

NPI Information

NPI: 1306029426
Provider Name: DIX EUREKA MEDICAL CENTER PC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 23D0872083

Address:
14797 DIX TOLEDO RD
SOUTHGATE, MI
ZIP 48195
Phone: (734) 281-9950
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DIX EUREKA MEDICAL CENTER PC is an urgent care clinic center in Southgate, MI. DIX EUREKA MEDICAL CENTER PC NPI is 1306029426. The provider is registered as an organization entity type.

The provider's business location address is:

14797 DIX TOLEDO RD
SOUTHGATE, MI
ZIP 48195-507
Phone: (734) 281-9950
Fax: (734) 281-4998

The provider's authorized official is Sitaram Kaura .
The authorized official title is Owner and has the following contact phone number (248) 320-0071.

The CLIA number assigned to this NPI record is 23D0872083 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2007 and was last updated on 12/12/2007.

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
1	261QU0200X	Clinic/Center	Urgent Care			Yes

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
1	OP10210	MEDICARE PIN	MICHIGAN
2	3365758	MEDICAID	MICHIGAN
3	P10210001	MEDICARE PIN	MICHIGAN

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

NPI Synchronization or Removal

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