THE WELLNESS PLAN NPI 1093180044

NPI Information

  • NPI: 1093180044
  • Provider Name: THE WELLNESS PLAN
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: WELLNESS PLAN EAST URGENT CARE
  • CLIA Number: 23D0036720
  • Address: 4909 E OUTER DR
    DETROIT, MI
    ZIP 48234
  • Phone: (313) 366-2000

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NPI Details

THE WELLNESS PLAN is an urgent care clinic center in Detroit, MI. THE WELLNESS PLAN NPI is 1093180044. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellness Plan East Urgent Care.

The provider's business location address is:

4909 E OUTER DR
DETROIT, MI
ZIP 48234-446
Phone: (313) 366-2000

The provider's authorized official is Anthony V. King .
The authorized official title is Ceo And Executive Director and has the following contact phone number (313) 202-8550.

The CLIA number assigned to this NPI record is 23D0036720 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/2/2015 and was last updated on 7/30/2019.

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 CareYes

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: 11/21/2025

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