Organization Active NPI

Downriver Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Southgate, MI
National Provider Identifier
1144301003
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
DOWNRIVER URGENT CARE PLLC
Practice address
15830 Fort St
Suite 1
Southgate, MI 48195-1367
Phone
(734) 282-5444
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Mohamad Aljarrah, MD
Title
President
Phone
(734) 282-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

15830 Fort St
Suite 1
Southgate, MI 48195-1367

Mailing address

15830 Fort St
Suite 1
Southgate, MI 48195-1367
Phone (734) 282-5444

Other identifiers 2

IdentifierTypeStateIssuer
4627506MedicaidMI
4627560MedicaidMI

National Provider Directory

National Provider Directory

Locations

15830 Fort St
Southgate, MI 48195
Phone (734) 282-5444

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1144301003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15830 FORT ST",
            "address_2": "SUITE 1",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951367",
            "telephone_number": "734-282-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15830 FORT ST",
            "address_2": "SUITE 1",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951367",
            "telephone_number": "734-282-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "ALJARRAH",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-282-5444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4627506",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4627560",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.