CHRISTIAN GLOBAL MEDICAL HEALTHCARE INCORPORATED NPI 1063804995

NPI Information

NPI: 1063804995
Provider Name: CHRISTIAN GLOBAL MEDICAL HEALTHCARE INCORPORATED

Other Name: URGENT CARE CLINIC

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 23D2095715

Address:
451 W MILHAM AVE
PORTAGE, MI
ZIP 49024
Phone: (269) 488-9007
Get Directions

CHRISTIAN GLOBAL MEDICAL HEALTHCARE INCORPORATED is an urgent care clinic center in Portage, MI. CHRISTIAN GLOBAL MEDICAL HEALTHCARE INCORPORATED NPI is 1063804995. The provider is registered as an organization entity type.
The provider Other Name Is Urgent Care Clinic.

The provider's business location address is:

451 W MILHAM AVE
PORTAGE, MI
ZIP 49024-721
Phone: (269) 488-9007
Fax: (269) 488-9001

The provider's authorized official is Manjerngie Cecelia Ndebe .
The authorized official title is Ceo and has the following contact phone number (269) 352-0655.

The CLIA number assigned to this NPI record is 23D2095715 - other - family practice urgent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2015 and was last updated on 3/2/2015.

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	MI8282001	OTHER	MICHIGAN	MEDICARE PTAN

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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