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PUREHEALTH MEDICAL INC NPI 1396409363


NPI Information

NPI: 1396409363
Provider Name: PUREHEALTH MEDICAL INC

Other Name: PUREHEALTH URGENT CARE

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 23D2266818

Address:
1723 W M 32 STE B
GAYLORD, MI
ZIP 49735
Phone: (248) 238-3666
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PUREHEALTH MEDICAL INC is a general practice in Gaylord, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PUREHEALTH MEDICAL INC NPI is 1396409363. The provider is registered as an organization entity type.
The provider Other Name Is Purehealth Urgent Care.

The provider's business location address is:

1723 W M 32 STE B
GAYLORD, MI
ZIP 49735-544
Phone: (248) 238-3666

The provider's authorized official is Autumn Peebles .
The authorized official title is Lead Credentialing Specialist and has the following contact phone number (810) 230-0338.

The CLIA number assigned to this NPI record is 23D2266818 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2021 and was last updated on 3/4/2022.


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
1261Q00000XClinic/CenterNo
2208D00000XGeneral PracticeYes

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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