Provider Demographics
NPI:1871204578
Name:GET WELL URGENT CARE DEARBORN HEIGHTS PLC
Entity type:Organization
Organization Name:GET WELL URGENT CARE DEARBORN HEIGHTS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LENA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-595-2000
Mailing Address - Street 1:24950 W WARREN ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-2143
Mailing Address - Country:US
Mailing Address - Phone:313-595-2000
Mailing Address - Fax:
Practice Address - Street 1:24950 W WARREN ST
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-2143
Practice Address - Country:US
Practice Address - Phone:313-595-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
21709OtherLIABILITY POLICY