Med Care Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MED CARE CLINIC LLC

Practice address

16315 Grand River Ave
Detroit, MI 48227-1825

Phone

(248) 996-5025

NPI assigned

Mar 29, 2009

Organization subpart

No

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

Authorized official

Name

Sameer Shriram Bhagwat

Title

Administrator

Phone

(248) 996-5025

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1238284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238284800000",
    "number": "1497997068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28930 GREENING ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342985",
            "telephone_number": "248-996-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16315 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271825",
            "telephone_number": "248-996-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-29",
        "last_updated": "2009-03-29",
        "status": "A",
        "authorized_official_last_name": "BHAGWAT",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_middle_name": "SHRIRAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-996-5025"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medaid Pharmacy
• Medchoice Inc
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• Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.