NPIMap

Organization Active NPI

Holly Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Holly, MI
National Provider Identifier
1831722719
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HOLLY URGENT CARE PLLC
Practice address
3523 Grange Hall Rd
Holly, MI 48442-1007
Phone
(248) 382-5791
Fax
(248) 382-5986
NPI assigned
Feb 19, 2020
Last updated
Sep 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Nameer Salman
Title
Owner / Manager
Phone
(810) 908-8730

Specialties & licenses 1

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

Addresses

Primary practice location

3523 Grange Hall Rd
Holly, MI 48442-1007

Mailing address

74 Chateaux Du Lac
Fenton, MI 48430-9140
Phone (810) 813-0653

Other identifiers 2

IdentifierTypeStateIssuer
104852994MedicaidMI
4301074635OtherMILICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200427002171 MI Part B Supplier - Clinic/Group Practice 0143650549 Receives reassigned benefits from 10 practitioners
Practice locations: Holly, MI

National Provider Directory

National Provider Directory

Locations

3523 Grange Hall Rd
Holly, MI 48442
Phone (248) 382-5791

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1831722719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 CHATEAUX DU LAC",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484309140",
            "telephone_number": "810-813-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 GRANGE HALL RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421007",
            "telephone_number": "248-382-5791",
            "fax_number": "248-382-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "SALMAN",
        "authorized_official_first_name": "NAMEER",
        "authorized_official_title_or_position": "OWNER / MANAGER",
        "authorized_official_telephone_number": "810-908-8730"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104852994",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4301074635",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.