Healthcare Provider Details

I. General information

NPI: 1700036936
Provider Name (Legal Business Name): OXFORD URGENT CARE P L C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2008
Last Update Date: 07/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 S WASHINGTON ST SUITE 102
OXFORD MI
48371-6421
US

IV. Provider business mailing address

72 S WASHINGTON ST SUITE 102
OXFORD MI
48371-6421
US

V. Phone/Fax

Practice location:
  • Phone: 248-236-8333
  • Fax: 248-236-8666
Mailing address:
  • Phone: 248-236-8333
  • Fax: 248-236-8666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. TABATHA LEANNE STAGE
Title or Position: BILLING MANAGER
Credential:
Phone: 248-853-2009