Organization · NPI-2
American Current Care Of Michigan PC
Clinic/Center, Urgent Care · Grand Rapids, MI
NPI number1013109438
StatusActive
Last updated in NPPESAug 4, 2010
Details
- NPI
- 1013109438
- Entity type
- Organization (NPI-2)
- Legal business name
- American Current Care Of Michigan PC
- Organization subpart
- No
- Enumeration date
- Aug 10, 2007
- Last updated
- Aug 4, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Practice location
933 Three Mile RoadSuite 110
Grand Rapids, MI 49544
Phone 616-785-2619 · Fax 616-785-2623
Mailing address
5080 Spectrum DriveSuite 1200 West
Addison, TX 75001-4625
Phone 800-232-3550
Authorized official
Tom Fogarty
Senior Vp/ Chief Medical Officer
9723648103
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