Clinton Urgent Care Walk-in Clinic
Organization Active NPI Family Medicine Physician · Clinton Township, MI
NPI 1831610070 · NPPES record last updated Feb 12, 2021
Key facts
- NPI
- 1831610070
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CLINTON URGENT CARE WALK-IN CLINIC
- Practice address
- 37150 S Gratiot Ave
Clinton Township, MI 48036-2702 - Phone
- (313) 948-3055
- NPI assigned
- Jun 28, 2017
- Organization subpart
- No
Authorized official
- Name
- Zahoorul Hassan, MD
- Title
- Ceo
- Phone
- (313) 948-3030
Practitioners 160
-
Maria Shemit, FNP-BC
-
Melonie Alverson, FNP-BC
-
Sarah Joann Barber, FNP
-
Lauren Beth Bauer, NP-C
-
Jennifer Bethea, FNP-BC
-
Stephanie Bonelli, APRN
-
Christina N Bradley, FNP-C
-
Caitlin Elizabeth Breitmeyer, FNP-C
-
Angela Rosalie Bucci, FNP-BC
-
Kelly Anne Carroll, FNP
-
Megan Rachel Dara, FNP-C
-
Savanah Deshano, NP
-
Court'Nee Ann Desmond, MSN-FNP-C
-
Ermira Dinkollari, FNP-BC
-
Kathleen Dobbs, FNP-BC
-
Zeinab Sami Esseili, PA-C
-
Astasia C Goodenough, FNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2133618 | Clinton Urgent Care Walk-in Clinic | Certificate of waiver | Jul 16, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170726002006 | MI | Part B Supplier - Clinic/Group Practice | 7719257625 |
Receives reassigned benefits from 158 practitioners Practice locations: Clinton Township, MI |
National Provider Directory
Locations
37150 S Gratiot Ave
Clinton Twp, MI 48036
Phone (586) 267-1334
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
37150 S Gratiot Ave
Clinton Township, MI 48036-2702
Mailing address
37150 S Gratiot Ave
Clinton Township, MI 48036-2702
Phone (313) 948-3030
Other providers in Clinton Township, MI
- Clinton Pain and Anesthesia PLC
- Clinton Partners, LLC
- Clinton RX
- Clinton Township Chiropractic PC
- Clinton Township Dialysis LLC
- James E Clinton
- Closer to the Heart LLC
- Samantha Cloutier
- Stephen Roberts Cluff
- CMK Homecare
All providers in Clinton Township, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.