NPIMap

Organization Active NPI

Public Wellness Asistance Inc

  • Primary Care Clinic/Center
  • Waterford, MI
National Provider Identifier
1295974533
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PUBLIC WELLNESS ASISTANCE INC
Practice address
5119 Highland Rd
Suite 391
Waterford, MI 48327-1915
Phone
(248) 773-2705
Fax
(248) 436-6238
NPI assigned
Feb 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Esteban D Marichal
Title
President
Phone
(248) 773-2705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MI Primary

Addresses

Primary practice location

5119 Highland Rd
Suite 391
Waterford, MI 48327-1915

Mailing address

955 West Huron
Waterford, MI 48327
Phone (248) 773-2705

National Provider Directory

National Provider Directory

Locations

955 W Huron St
Waterford, MI 48328
Phone (248) 773-2705

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1295974533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 WEST HURON",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48327",
            "telephone_number": "248-773-2705",
            "fax_number": "248-436-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5119 HIGHLAND RD",
            "address_2": "SUITE 391",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271915",
            "telephone_number": "248-773-2705",
            "fax_number": "248-436-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC WELLNESS ASISTANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "MARICHAL",
        "authorized_official_first_name": "ESTEBAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-773-2705"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.