HOLLY URGENT CARE PLLC NPI 1831722719

NPI Information

NPI: 1831722719
Provider Name: HOLLY URGENT CARE PLLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 23D2220510

Address:
3523 GRANGE HALL RD
HOLLY, MI
ZIP 48442
Phone: (248) 382-5791
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HOLLY URGENT CARE PLLC is an urgent care clinic center in Holly, MI. HOLLY URGENT CARE PLLC NPI is 1831722719. The provider is registered as an organization entity type.

The provider's business location address is:

3523 GRANGE HALL RD
HOLLY, MI
ZIP 48442-007
Phone: (248) 382-5791
Fax: (248) 382-5986

The provider's authorized official is Nameer Salman .
The authorized official title is Owner / Manager and has the following contact phone number (810) 908-8730.

The CLIA number assigned to this NPI record is 23D2220510 - other - urgent care lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2020 and was last updated on 9/15/2023.

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
1	261QU0200X	Clinic/Center	Urgent Care			Yes

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
1	4301074635	OTHER	MICHIGAN	LICENSE
2	104852994	MEDICAID	MICHIGAN

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

NPI Synchronization or Removal

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