Primecare Medical Centers of Michigan, P.L.L.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PRIMECARE MEDICAL CENTERS OF MICHIGAN, P.L.L.C.

Practice address

25429 Van Dyke Ave
Center Line, MI 48015-1825

Phone

(586) 759-1100

Fax

(586) 759-2721

NPI assigned

Apr 11, 2007

Last updated

Nov 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Michael Zelch, M.D.

Title

Representative

Phone

(586) 759-1100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1427271808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25429 VAN DYKE AVE",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151825",
            "telephone_number": "586-759-1100",
            "fax_number": "586-759-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25429 VAN DYKE AVE",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151825",
            "telephone_number": "586-759-1100",
            "fax_number": "586-759-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE MEDICAL CENTERS OF MICHIGAN, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "ZELCH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "REPRESENTATIVE",
        "authorized_official_telephone_number": "586-759-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4622930-10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "080E017980",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Perry
• Amanda Pollak, LMSW
• Deborah Prentiss
• Snezana Price
• Prime Dental Care PLLC
• Professional Dental Alliance of Michigan, LLC (Refresh Dental Center Line)
• Madeline Mae Prusinowski
• Oleksandra Ptichkina
• Laura Ann Purdy, LLPC
• Pritesh Ray

• Primary Care Clinic/Center in Center Line, MI
• Providers in Center Line, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.