INDEPENDENCE URGENT CARE NPI 1215269618

NPI Information

NPI: 1215269618
Provider Name: INDEPENDENCE URGENT CARE
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 23D2028849

Address:
7192 N MAIN ST
CLARKSTON, MI
ZIP 48346
Phone: (248) 625-2905
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INDEPENDENCE URGENT CARE is an urgent care clinic center in Clarkston, MI. INDEPENDENCE URGENT CARE NPI is 1215269618. The provider is registered as an organization entity type.

The provider's business location address is:

7192 N MAIN ST
CLARKSTON, MI
ZIP 48346-571
Phone: (248) 625-2905
Fax: (248) 625-0239

The provider's authorized official is Bashar Okka .
The authorized official title is President and has the following contact phone number (248) 625-2905.

The CLIA number assigned to this NPI record is 23D2028849 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2010 and was last updated on 4/19/2011.

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

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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