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PRIMECARE URGENT CARE PLLC NPI 1174875140


NPI Information

NPI: 1174875140
Provider Name: PRIMECARE URGENT CARE PLLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 23D2048594

Address:
39555 W 10 MILE RD
SUITE 301
NOVI, MI
ZIP 48375
Phone: (248) 426-7200
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PRIMECARE URGENT CARE PLLC is an urgent care clinic center in Novi, MI. PRIMECARE URGENT CARE PLLC NPI is 1174875140. The provider is registered as an organization entity type.

The provider's business location address is:

39555 W 10 MILE RD
SUITE 301
NOVI, MI
ZIP 48375-950
Phone: (248) 426-7200

The provider's authorized official is Theodore Shively .
The authorized official title is Owner and has the following contact phone number (248) 755-2274.

The CLIA number assigned to this NPI record is 23D2048594 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2012 and was last updated on 12/11/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 4/28/2024

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