Bwroc Inc

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

BWROC INC

Doing business as

BWROC INC

Practice address

617 10TH St
Port Huron, MI 48060-4406

Phone

(810) 689-4858

NPI assigned

Apr 23, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick L Patterson

Title

Executive Director

Phone

(810) 449-3466

Specialties & licenses 1

Addresses

Other names 1

• BWROC INC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1114509783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 10TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604406",
            "telephone_number": "810-689-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 10TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604406",
            "telephone_number": "810-689-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BWROC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "810-449-3466"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BWROC INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Burnham I
• Lynzee Burnham
• Alicia Burns, LMSW
• Charlotte Burns
• Linda Jean Butler
• William Byers
• Kara Byrd, PTA
• C Bazo Group, PLLC
• Herminio C Calderon, MD
• Kenneth L Caldwell

• Recovery Care Clinic/Center in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Recovery Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.