Urgent Care Clinic PLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

LM037695 Issued in MI

Legal business name

URGENT CARE CLINIC PLC

Practice address

1850 Pipestone Rd
Ste 101
Benton Harbor, MI 49022-2304

Phone

(269) 925-6600

Fax

(269) 925-9528

NPI assigned

Feb 7, 2008

Organization subpart

No

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

Authorized official

Name

Kenny Walker

Title

Medical Biller

Phone

(574) 273-5154

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Urgent Care Clinic PLC Doing business as

Locations

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1730367152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 PIPESTONE RD STE 101",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490222304",
            "telephone_number": "269-925-6600",
            "fax_number": "269-925-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 PIPESTONE RD",
            "address_2": "STE 101",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490222304",
            "telephone_number": "269-925-6600",
            "fax_number": "269-925-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "574-273-5154"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "LM037695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USPS",
            "identifier": "217649700",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LM037695",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "020A110440",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care Clinic PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Urgent Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.