Downriver Urgent Care Pllc

LBN: Downriver Urgent Care Pllc
Downriver Urgent Care Pllc is an health care organization with primary practice located at 15830 Fort St Suite One, Southgate MI 48195-1367. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Downriver Urgent Care Pllc can be contacted via phone (734) 282-5444, or through Al-Jarrah, Mohamad via phone (734) 282-5444.

Contact Information

Primary practice address
15830 Fort St Suite One Southgate MI 48195-1367
Phone: (734) 282-5444
Fax: (734) 282-4899
Website:
Map and Directions
Authorized official contact:
Name: Al-Jarrah, Mohamad Doctor of Medicine (MD)
Phone: (734) 282-5444

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 4301057471 Michigan

Profile Details

NPI number 1861789083
LBN Legal business name Downriver Urgent Care Pllc
DBA Doing business as
Authorized official Al-Jarrah, Mohamad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2011
Last updated Jul 8th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861789083 NPPES
Michigan MEDICAID 4627560
Michigan MEDICAID 4627506

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