Organization Active NPI

Canton Urgent Care Walk-in Clinic PC

  • Urgent Care Clinic/Center
  • Canton, MI
National Provider Identifier
1649712480
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
06741K Issued in MI
Legal business name
CANTON URGENT CARE WALK-IN CLINIC PC
Practice address
43033 Ford Rd
Canton, MI 48187-3375
Phone
(734) 927-5050
NPI assigned
Nov 10, 2016
Last updated
Nov 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Zahoorul Hassan, MDNPI 1033341060
Title
President
Phone
(313) 948-3030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 06741K MI Primary

Addresses

Primary practice location

43033 Ford Rd
Canton, MI 48187-3375

Mailing address

43033 Ford Rd
Canton, MI 48187-3375

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161208001492 MI Part B Supplier - Clinic/Group Practice 4486934452 Receives reassigned benefits from 163 practitioners
Practice locations: Canton, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2122131Canton Urgent Care Walk-in Clinic P C43033 Ford Road, Canton, MI 48187Certificate of waiverNov 20, 2026

National Provider Directory

National Provider Directory

Locations

43033 Ford Rd
Canton, MI 48187
Phone (734) 927-5050

Practitioners & affiliated clinicians

Practitioners 169

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 169

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1649712480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43033 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43033 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873375",
            "telephone_number": "734-927-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON URGENT CARE WALK-IN CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "ZAHOORUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-948-3030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "06741K",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.