Urban Health Resource, Inc.

LBN: Urban Health Resource
Urban Health Resource, Inc. is an health care organization with primary practice located at 3031 W Grand Blvd Ste 365, Detroit MI 48202. The organization recently has 5 registered licenses in different health care specialties including Other Service Providers / Contractor, Other Service Providers / Community Health Worker, Other Service Providers / Specialist, Other Service Providers / Health Educator, Other Service Providers / Peer Specialist. Other Service Providers / Health Educator is the primary health care specialty. Urban Health Resource can be contacted via phone (313) 664-0100, or through Green-Smith, Paula S via phone (313) 664-0100.

Contact Information

Primary practice address
3031 W Grand Blvd Ste 365 Detroit MI 48202
Phone: (313) 664-0100
Fax: (313) 664-0111
Website:
Map and Directions
Authorized official contact:
Name: Green-Smith, Paula S Master of Arts (MA)
Phone: (313) 664-0100

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Specialist 174400000X
Other Service Providers / Health Educator 174H00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1518235670
LBN Legal business name Urban Health Resource
DBA Doing business as Urban Health Resource, Inc.
Authorized official Green-Smith, Paula S Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2011
Last updated Feb 20th, 2024 - about 2 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 1518235670 NPPES
Michigan MEDICAID MI12245

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