JACKSON URGENT CARE PLLC NPI 1528643723

NPI Information

NPI: 1528643723
Provider Name: JACKSON URGENT CARE PLLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 23D2223018

Address:
1407 E MICHIGAN AVE
JACKSON, MI
ZIP 49202
Phone: (313) 377-5758
Get Directions

JACKSON URGENT CARE PLLC is an urgent care clinic center in Jackson, MI. JACKSON URGENT CARE PLLC NPI is 1528643723. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1407 E MICHIGAN AVE
JACKSON, MI
ZIP 49202-517
Phone: (313) 377-5758

The provider's authorized official is Ibrahim H Dabaja .
The authorized official title is Director/owner and has the following contact phone number (517) 888-6348.

The CLIA number assigned to this NPI record is 23D2223018 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2021 and was last updated on 12/19/2022.

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	207QA0505X	Family Medicine	Adult Medicine			No
2	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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