Community Urgent Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301080612 Issued in MI

Legal business name

COMMUNITY URGENT CARE PLLC

Practice address

1816 Grindley Park St
Dearborn, MI 48124-2504

Phone

(313) 792-1200

Fax

(313) 792-1201

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Faiz Rahman, MDNPI 1598737041

Title

Executive Director

Phone

(313) 792-1200

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Community Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Community Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1538502307
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Faiz Rahman, MD

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1598737041
  Medicare reassignment NPD Authorized official
• Sumbul Faiz Rahman, M.D.

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1316010416
  Medicare reassignment NPD

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1609074665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 GRINDLEY PARK ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242504",
            "telephone_number": "313-792-1200",
            "fax_number": "313-792-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 GRINDLEY PARK ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242504",
            "telephone_number": "313-792-1200",
            "fax_number": "313-792-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "FAIZ",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-792-1200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301080612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "700H238250",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "I41319",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PT",
            "identifier": "0P47330",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GROUP",
            "identifier": "700H238250",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609074665",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DH0360",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Teitge Combs, CNM
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• Community Urgent Care PLLC
• Compassion Care Agency
• Compassionate Mercy Home Health Care LLC
• Compounding Tru-del Pharmacy Inc
• Comprehensive Hematology Oncology Physicians. P.C.
• Comprehensive Home Health Care Inc

• Family Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.