Provider Demographics
NPI:1255606604
Name:HEALTHY URGENT CARE WEST BLOOMFIELD
Entity type:Organization
Organization Name:HEALTHY URGENT CARE WEST BLOOMFIELD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARMED
Authorized Official - Middle Name:G
Authorized Official - Last Name:SINAWI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-865-7444
Mailing Address - Street 1:7125 ORCHARD LAKE RD
Mailing Address - Street 2:#100
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3615
Mailing Address - Country:US
Mailing Address - Phone:248-865-7444
Mailing Address - Fax:248-865-7469
Practice Address - Street 1:7125 ORCHARD LAKE RD
Practice Address - Street 2:#100
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3615
Practice Address - Country:US
Practice Address - Phone:248-865-7444
Practice Address - Fax:248-865-7469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care