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MT. CLEMENS REGIONAL EMERGENCY PHYSICIANS PLLC NPI 1306097738


NPI Information

NPI: 1306097738
Provider Name: MT. CLEMENS REGIONAL EMERGENCY PHYSICIANS, PLLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 23D2099697

Address:
1000 HARRINGTON ST
MOUNT CLEMENS, MI
ZIP 48043
Phone: (586) 493-8000
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MT. CLEMENS REGIONAL EMERGENCY PHYSICIANS, PLLC is an emergency medicine in Mount Clemens, MI. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. MT. CLEMENS REGIONAL EMERGENCY PHYSICIANS, PLLC NPI is 1306097738. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1000 HARRINGTON ST
MOUNT CLEMENS, MI
ZIP 48043-920
Phone: (586) 493-8000

The provider's authorized official is James M Larkin .
The authorized official title is Group Head and has the following contact phone number (248) 828-3671.

The CLIA number assigned to this NPI record is 23D2099697 - other - school based with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2008 and was last updated on 10/10/2008.


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
1207P00000XEmergency MedicineYes

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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