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Contact Information

VAN BUREN URGENT CARE CENTER PLLC
11650 BELLEVILLE RD
SUITE 101
VAN BUREN CHARTER TOWNSHIP, MI48111
 Phone: 734-699-9888
 Fax: 734-293-1774
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for VAN BUREN URGENT CARE CENTER PLLC

NPI Number 1538497250
LBN Legal business name VAN BUREN URGENT CARE CENTER PLLC
Authorized official SAMEER HURAIBI - (OWNER MEDICAL DIRECTOR PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 11/19/2009
Last updated 12/09/2010 - About 16 years ago
Identifiers
MI License # 4301085918
MI Medicaid 1538497250
MI Other 080H258740 BCBS GROUP
MI Other 182933 GREAT LAKES
MI Other DQ6601 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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