NPIMap

Organization Active NPI

Downriver Urgent Care

  • Urgent Care Clinic/Center
  • Southgate, MI
National Provider Identifier
1952575664
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
AS058649 Issued in MI
Legal business name
DOWNRIVER URGENT CARE
Practice address
15830 Fort St
Ste 1
Southgate, MI 48195-1367
Phone
(734) 282-5444
Fax
(734) 282-4899
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Mrs. Lynn Dumas
Title
Credentialing/Biller
Phone
(734) 282-5444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X MA057571 MI
Urgent Care Clinic/Center 261QU0200X AS058649 MI Primary

Addresses

Primary practice location

15830 Fort St
Ste 1
Southgate, MI 48195-1367

Mailing address

15830 Fort St
Ste 1
Southgate, MI 48195-1367
Phone (734) 282-5444

National Provider Directory

National Provider Directory
Tax ID family
Downriver Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1952575664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15830 FORT ST",
            "address_2": "STE 1",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951367",
            "telephone_number": "734-282-5444",
            "fax_number": "734-282-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15830 FORT ST",
            "address_2": "STE 1",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951367",
            "telephone_number": "734-282-5444",
            "fax_number": "734-282-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "DUMAS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CREDENTIALING/BILLER",
        "authorized_official_telephone_number": "734-282-5444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "MA057571",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "AS058649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.