NPIMap

Organization Active NPI

American Current Care of Michigan PC

Doing business as Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Romulus, MI
National Provider Identifier
1407048408
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
AMERICAN CURRENT CARE OF MICHIGAN PC
Doing business as
Concentra Urgent Care
Practice address
11700 Metro Airport Center Drive
Suite 104
Romulus, MI 48174-1404
Phone
(734) 955-7000
Fax
(734) 955-7006
NPI assigned
Aug 14, 2007
Last updated
Feb 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Dr. John R Anderson, DO
Title
President and Treasurer
Phone
(972) 364-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

11700 Metro Airport Center Drive
Suite 104
Romulus, MI 48174-1404

Mailing address

5080 Spectrum Dr
Suite 1200 West
Addison, TX 75001-4648
Phone (972) 720-7772

Other names 1

  • Concentra Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070726000695 MI Part B Supplier - Clinic/Group Practice 5799886313 Receives reassigned benefits from 78 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Woodhaven, MI; Warren, MI; Walker, MI; Troy, MI; Sterling Heights, MI; Southfield, MI; Romulus, MI; Novi, MI…

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1407048408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR",
            "address_2": "SUITE 1200 WEST",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014648",
            "telephone_number": "972-720-7772",
            "fax_number": "214-775-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 METRO AIRPORT CENTER DRIVE",
            "address_2": "SUITE 104",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741404",
            "telephone_number": "734-955-7000",
            "fax_number": "734-955-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CURRENT CARE OF MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT AND TREASURER",
        "authorized_official_telephone_number": "972-364-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concentra Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Romulus, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.