Healthcare Provider Details

I. General information

NPI: 1770041782
Provider Name (Legal Business Name): CITYPULSE URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2019
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6460 28TH ST SE
GRAND RAPIDS MI
49546-6918
US

IV. Provider business mailing address

6460 28TH ST SE
GRAND RAPIDS MI
49546-6918
US

V. Phone/Fax

Practice location:
  • Phone: 616-591-5995
  • Fax:
Mailing address:
  • Phone: 616-591-5995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GEORGE VARUGHESE
Title or Position: OWNER
Credential: MD
Phone: 616-591-5995