Primary Heatlh Care Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4301077843 Issued in MI

Legal business name

PRIMARY HEATLH CARE CENTER

Practice address

337 Inkster Rd
Inkster, MI 48141-1208

Phone

(313) 843-8300

NPI assigned

Mar 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ali M Nasser, MD

Title

President

Phone

(313) 843-8300

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1992946909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4186",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481260186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 INKSTER RD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411208",
            "telephone_number": "313-843-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEATLH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "NASSER",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-843-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301077843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4627749",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Inkster, MI
• Providers in Inkster, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.