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LINCOLN PARK URGENT CARE NPI 1194983916


NPI Information

NPI: 1194983916
Provider Name: LINCOLN PARK URGENT CARE

Doing Business As: PARK URGENT CARE

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 23D1001511

Address:
15101 SOUTHFIELD RD
SUITE 101
ALLEN PARK, MI
ZIP 48101
Phone: (313) 383-3333
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LINCOLN PARK URGENT CARE is a specialist in Allen Park, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LINCOLN PARK URGENT CARE NPI is 1194983916. The provider is registered as an organization entity type.
The provider Is Doing Business As Park Urgent Care.

The provider's business location address is:

15101 SOUTHFIELD RD
SUITE 101
ALLEN PARK, MI
ZIP 48101-697
Phone: (313) 383-3333
Fax: (313) 383-5555

The provider's authorized official is Nazer Abdel-fattah .
The authorized official title is President and has the following contact phone number (313) 383-3333.

The CLIA number assigned to this NPI record is 23D1001511 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2008 and was last updated on 9/24/2019.


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 CareNo
2174400000XSpecialistYes

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
14404850MEDICAIDMICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.