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General NPI Number Information
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NPI Number | 1952105280
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Entity Type | Organization
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Legal Business Name | EAST COLUMBIA URGENT CARE PLLC
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 1250 COLUMBIA AVE E STE B
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City | BATTLE CREEK
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State | MI
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Zip | 49014-5159
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Country | US
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Telephone | 616-204-9679
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 COLUMBIA AVE E STE B
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City | BATTLE CREEK
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State | MI
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Zip | 49014-5159
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Country | US
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Telephone | 616-204-9679
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IAN S THOMAS
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Credential | MD
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Telephone | 616-204-9679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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