Organization Active NPI

Hamtramck Community Medical Center PC

  • Urgent Care Clinic/Center
  • Hamtramck, MI
National Provider Identifier
1184847808
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HAMTRAMCK COMMUNITY MEDICAL CENTER PC
Practice address
9740 Conant St
Hamtramck, MI 48212-3307
Phone
(313) 556-9900
Fax
(313) 556-9911
NPI assigned
Apr 11, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Redwan Uddin, MDNPI 1376593228
Title
Owner
Phone
(248) 851-1430

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)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

9740 Conant St
Hamtramck, MI 48212-3307

Mailing address

2835 Tumbleweed Dr
Troy, MI 48085-7021
Phone (313) 556-9900

Other identifiers 1

IdentifierTypeStateIssuer
700H217400OtherBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050721000668 MI Part B Supplier - Clinic/Group Practice 9234166174 Receives reassigned benefits from 3 practitioners
Practice locations: Hamtramck, MI

National Provider Directory

National Provider Directory
Tax ID family
Hamtramck Community Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9740 Conant St
Ste 2
Hamtramck, MI 48212

Practitioners & affiliated clinicians

Practitioners 4

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.

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": "1658361600000",
    "number": "1184847808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 TUMBLEWEED DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480857021",
            "telephone_number": "313-556-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123307",
            "telephone_number": "313-556-9900",
            "fax_number": "313-556-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMTRAMCK COMMUNITY MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "UDDIN",
        "authorized_official_first_name": "REDWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-851-1430",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "700H217400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.