Organization
URGENT CARE CLINIC PLC
Active
Other names
Urgent Care Clinic PLC
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY WALKER (MEDICAL BILLER)
(574) 273-5154
Entity
Organization
Contact information
Practice address
1850 PIPESTONE RD, STE 101, BENTON HARBOR, MI 49022-2304
(269) 925-6600
(269) 925-9528
Mailing address
1850 PIPESTONE RD STE 101, BENTON HARBOR, MI 49022-2304
(269) 925-6600
(269) 925-9528
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
LM037695
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020A110440
BCBSM
MI
01
—
217649700
USPS
MI
01
—
LM037695
LICENSE
MI
Enumeration date
02/07/2008
Last updated
05/06/2011
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