# BLUE WATER URGENT CARE PORT HURON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548957707
- **Authorized official:** DR. IBRAHIM DABAJA PA-C, PH.D. (PRESIDENT)
- **Authorized official phone:** (810) 660-0242

## Contact information

- **Practice address:** 1612 10TH AVE, PORT HURON, MI 48060-3303
- **Practice address phone:** (810) 660-0242
- **Mailing address:** 1612 10TH AVE, PORT HURON, MI 48060-3303
- **Mailing address phone:** (810) 660-0242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/19/2023
- **Last updated:** 04/19/2023