Active NPI
Primecare Medical Centers of Michigan, P.L.L.C.
- Primary Care Clinic/Center
- Redford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PRIMECARE MEDICAL CENTERS OF MICHIGAN, P.L.L.C.
- Practice address
- 14671 Telegraph Rd
Redford, MI 48239-3300 - Phone
- (313) 387-2100
- Fax
- (313) 387-2103
- NPI assigned
- Apr 11, 2007
- Last updated
- May 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Michael Zelch, M.D.
- Title
- Representative
- Phone
- (586) 759-1100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
14671 Telegraph Rd
Redford, MI 48239-3300
Mailing address
22605 Van Dyke Ave
Warren, MI 48089-2358
Phone (586) 759-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4622920-11 | Medicaid | MI |
National Provider Directory
National Provider Directory- Tax ID family
- Primecare Medical Centers of Michigan PLLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Detroit, MI
- NPI 1265655583
-
- Primary Care Clinic/Center
- Ferndale, MI
- NPI 1942423264
Locations
22605 Van Dyke Ave
Warren, MI 48089
Phone (586) 759-1100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Dania Beach, FL
- NPI 1457487472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211328000000",
"number": "1114140423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22605 VAN DYKE AVE",
"city": "WARREN",
"state": "MI",
"postal_code": "480892358",
"telephone_number": "586-759-1100",
"fax_number": "586-759-2721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14671 TELEGRAPH RD",
"city": "REDFORD",
"state": "MI",
"postal_code": "482393300",
"telephone_number": "313-387-2100",
"fax_number": "313-387-2103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMECARE MEDICAL CENTERS OF MICHIGAN, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2008-05-21",
"status": "A",
"authorized_official_last_name": "ZELCH",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "REPRESENTATIVE",
"authorized_official_telephone_number": "586-759-1100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4622920-11",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redford, MI
- Precare Pharmacy LLC
- Premier Cure LLC (premier cure pharmacy)
- Tiffany Alisha Presberry, L.L.M.S.W.
- Presbyterian Village Redford (The Village of Redford)
- Prevail Rehab Center, Inc
- Ruth Prince
- Priority One Urgent Care Centers PLLC
- Prompt Medical Equipment and Supplies Inc
- Prophetic Solutions Professional Counseling, PLLC
- Paige A Pruden
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.