Healthcare Provider Details

I. General information

NPI: 1356014567
Provider Name (Legal Business Name): PLAINWELL URGENT CARE WALK-IN CLINIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2021
Last Update Date: 07/26/2021
Certification Date: 07/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 M 89 STE 200
PLAINWELL MI
49080-1180
US

IV. Provider business mailing address

501 E CHICAGO BLVD
TECUMSEH MI
49286-1515
US

V. Phone/Fax

Practice location:
  • Phone: 517-662-3144
  • Fax:
Mailing address:
  • Phone: 517-662-3144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: NANCY MOLNAR
Title or Position: BUSINESS OPERATIONS MANAGER
Credential:
Phone: 313-948-3055