WOODLAND URGENT CARE LLC NPI 1841299435

NPI Information

NPI: 1841299435
Provider Name: WOODLAND URGENT CARE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D1022558

Address:
22341 W 8 MILE RD
DETROIT, MI
ZIP 48219
Phone: (313) 387-8700
Get Directions

WOODLAND URGENT CARE LLC is a family medicine in Detroit, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WOODLAND URGENT CARE LLC NPI is 1841299435. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

22341 W 8 MILE RD
DETROIT, MI
ZIP 48219-217
Phone: (313) 387-8700
Fax: (313) 387-7665

The provider's authorized official is Farah Iftikhar .
The authorized official title is Owner/physician and has the following contact phone number (313) 387-8700.

The CLIA number assigned to this NPI record is 23D1022558 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 12/11/2008.

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	207R00000X	Internal Medicine		4301065784	MICHIGAN	No
2	261QU0200X	Clinic/Center	Urgent Care	4301075100	MICHIGAN	No
3	207Q00000X	Family Medicine		4301065784	MICHIGAN	Yes

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
1	700H221550	OTHER	MICHIGAN	BCBS
2	700H222890	OTHER	MICHIGAN	BCN
3	4603200	MEDICAID	MICHIGAN
4	4603184	MEDICAID	MICHIGAN
5	0N90660	MEDICARE PIN	MICHIGAN

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: 11/14/2023

NPI Synchronization or Removal

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