Bluewater Urgent Care Clinic PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

BLUEWATER URGENT CARE CLINIC PLLC

Practice address

2700 Pointe Tremble Rd
Algonac, MI 48001-1836

Phone

(586) 625-0455

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Ibrahim H Dabaja, PA-C, PHD

Title

President

Phone

(810) 662-2827

Specialties & licenses 2

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656806400000",
    "number": "1760128755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 POINTE TREMBLE RD",
            "city": "ALGONAC",
            "state": "MI",
            "postal_code": "480011836",
            "telephone_number": "810-662-2827",
            "fax_number": "810-821-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 POINTE TREMBLE RD",
            "city": "ALGONAC",
            "state": "MI",
            "postal_code": "480011836",
            "telephone_number": "586-625-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEWATER URGENT CARE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-07-03",
        "certification_date": "2022-07-03",
        "status": "A",
        "authorized_official_last_name": "DABAJA",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-662-2827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PA-C, PHD"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Algonac Pharmacy
• Brittany Nichole Anderson, FNP-BC
• Sabine Kaufman Barnhart
• Robert J Bates, D.D.S.
• Ronald E. Battiata, M.D.
• Bormans Inc
• Jason R Bortnem, DO
• Stephanie Allison Boyle, DDS
• Megan Lynn Bradford, D.C.
• Cortney Lynn Brady, D.C.

• All providers in Algonac, MI
• Urgent Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.