Organization Active NPI

Nuch of Michigan, Inc.

  • Urgent Care Clinic/Center
  • Roseville, MI
National Provider Identifier
1700340569
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
NUCH OF MICHIGAN, INC.
Doing business as
DMC UC - Roseville
Practice address
20782 Thirteen Mile Road
Roseville, MI 48375
Phone
(586) 204-1994
Fax
(615) 309-8341
NPI assigned
Jan 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Eric Enderle
Title
Ceo
Phone
(615) 600-4120

Specialties & licenses 1

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

Addresses

Primary practice location

20782 Thirteen Mile Road
Roseville, MI 48375

Mailing address

115 Eastpark Dr Ste 300
Brentwood, TN 37027-2311
Phone (615) 600-4074

Other names 1

  • DMC UC - Roseville Doing business as

National Provider Directory

National Provider Directory

Locations

20782 E 13 Mile Rd
Roseville, MI 48066
Phone (586) 204-1994

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1700340569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EASTPARK DR STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272311",
            "telephone_number": "615-600-4074",
            "fax_number": "615-309-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20782 THIRTEEN MILE ROAD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "48375",
            "telephone_number": "586-204-1994",
            "fax_number": "615-309-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUCH OF MICHIGAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "ENDERLE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-600-4120"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMC UC - Roseville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.