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RIVER URGENT CARE & MEDICAL CLINIC PC NPI 1063482966


NPI Information

NPI: 1063482966
Provider Name: RIVER URGENT CARE & MEDICAL CLINIC PC
Classification: Emergency Medical Technician, Paramedic - 146L00000X
Entity Type: Organization
Address:
3645 WEST RD
TRENTON, MI
ZIP 48183
Phone: (734) 671-4900
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RIVER URGENT CARE & MEDICAL CLINIC PC is an emergency medical technician paramedic in Trenton, MI. The provider is an EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. RIVER URGENT CARE & MEDICAL CLINIC PC NPI is 1063482966. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3645 WEST RD
TRENTON, MI
ZIP 48183-225
Phone: (734) 671-4900
Fax: (734) 671-4949

The provider's authorized official is Samer A Nasry .
The authorized official title is Medical Director and has the following contact phone number (734) 671-4900.

The enumeration date for this NPI number is 1/24/2006 and was last updated on 6/30/2008.


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
1146L00000XEmergency Medical Technician, Paramedic4301052864MICHIGANYes

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
14463280 10MEDICAIDMICHIGAN
21108253031OTHERMICHIGANBCBS PIN
3F14242MEDICARE UPINMICHIGAN
40N62590MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

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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