SUMMIT URGENT CARE PC NPI 1205907870

NPI Information

  • NPI: 1205907870
  • Provider Name: SUMMIT URGENT CARE PC
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • Address: 21844 23 MILE RD
    MACOMB, MI
    ZIP 48042
  • Phone: (586) 598-8115

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NPI Details

SUMMIT URGENT CARE PC is an emergency medicine in Macomb, MI. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. SUMMIT URGENT CARE PC NPI is 1205907870. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

21844 23 MILE RD
MACOMB, MI
ZIP 48042-422
Phone: (586) 598-8115
Fax: (586) 591-5929

The provider's authorized official is Mfed Mosely .
The authorized official title is Owner and has the following contact phone number (586) 598-8115.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 11/25/2019.

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
1207P00000XEmergency MedicineMICHIGANYes

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
11215403597MEDICAIDMICHIGAN
2061918OTHERMICHIGANHEALTH ALLI PLAN
3610926900OTHERACS-OWCP
4061918OTHERHEALTH ALLIANCE PLAN
5700E017910OTHERBCBS

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: 3/30/2025

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