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DOWNRIVER URGENT CARE PLLC NPI 1861789083


NPI Information

NPI: 1861789083
Provider Name: DOWNRIVER URGENT CARE PLLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
15830 FORT ST
SUITE ONE
SOUTHGATE, MI
ZIP 48195
Phone: (734) 282-5444
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DOWNRIVER URGENT CARE PLLC is an urgent care clinic center in Southgate, MI. DOWNRIVER URGENT CARE PLLC NPI is 1861789083. The provider is registered as an organization entity type.

The provider's business location address is:

15830 FORT ST
SUITE ONE
SOUTHGATE, MI
ZIP 48195-367
Phone: (734) 282-5444
Fax: (734) 282-4899

The provider's authorized official is Mohamad Al-jarrah .
The authorized official title is President and has the following contact phone number (734) 282-5444.

The enumeration date for this NPI number is 7/8/2011 and was last updated on 7/8/2011.


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
1261QU0200XClinic/CenterUrgent Care4301057471MICHIGANYes

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
10N9427002MEDICARE PINMICHIGAN
24627560MEDICAIDMICHIGAN
30N9427001MEDICARE PINMICHIGAN
44627506MEDICAIDMICHIGAN
5F77741MEDICARE UPINMICHIGAN
6G40626MEDICARE UPINMICHIGAN

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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