Organization Active NPI

Leelanau Urgent Care, PC

  • Urgent Care Clinic/Center
  • Suttons Bay, MI
National Provider Identifier
1326197179
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
LEELANAU URGENT CARE, PC
Practice address
650 S West Bay Shore Dr
Suttons Bay, MI 49682-9587
Phone
(231) 271-6511
Fax
(231) 271-6519
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Mrs. Janice L Lemak, R.N.
Title
Ceo
Phone
(231) 271-6511

Specialties & licenses 1

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

Addresses

Primary practice location

650 S West Bay Shore Dr
Suttons Bay, MI 49682-9587

Mailing address

650 S West Bay Shore Dr
Suttons Bay, MI 49682-9587
Phone (231) 271-6511

Other identifiers 4

IdentifierTypeStateIssuer
1336397538OtherMINPI FOR ANDRIJ LAWRIN, PA
4500089MedicaidMI
1669563334OtherMINPI FOR DAVID L LEMAK, MD
1902113475OtherMINPI FOR ANDREA KNOKE, PAC

National Provider Directory

National Provider Directory

Locations

6701 E Duck Lake Rd
Lake Leelanau, MI 49653
Phone (231) 256-2273

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1326197179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S WEST BAY SHORE DR",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496829587",
            "telephone_number": "231-271-6511",
            "fax_number": "231-271-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S WEST BAY SHORE DR",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496829587",
            "telephone_number": "231-271-6511",
            "fax_number": "231-271-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEELANAU URGENT CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "LEMAK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-271-6511",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR ANDRIJ LAWRIN, PA",
            "identifier": "1336397538",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4500089",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR DAVID L LEMAK, MD",
            "identifier": "1669563334",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR ANDREA KNOKE, PAC",
            "identifier": "1902113475",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suttons Bay, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.