Healthcare Provider Details

I. General information

NPI: 1417348129
Provider Name (Legal Business Name): ACURATE MOBILE MEDICAL HEALTH SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2015
Last Update Date: 02/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20880 GRATIOT AVE STE 111
EASTPOINTE MI
48021-2816
US

IV. Provider business mailing address

1405 LAKEPOINT ST
GROSSPOINTE MI
48230
US

V. Phone/Fax

Practice location:
  • Phone: 313-929-0335
  • Fax:
Mailing address:
  • Phone: 313-929-0335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. CLIFTON L GREEN II
Title or Position: OWNER
Credential:
Phone: 313-929-0335