1720290620 NPI number — DMC PRIMARY CARE SERVICES II

Table of content: (NPI 1720290620)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720290620 NPI number — DMC PRIMARY CARE SERVICES II

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DMC PRIMARY CARE SERVICES II
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720290620
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/04/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 67000
Provider Second Line Business Mailing Address:
DEPT 100201
Provider Business Mailing Address City Name:
DETROIT
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48267-0002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-603-4240
Provider Business Mailing Address Fax Number:
248-603-4249

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6001 W OUTER DR
Provider Second Line Business Practice Location Address:
#400
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-966-4200
Provider Business Practice Location Address Fax Number:
313-966-3560
Provider Enumeration Date:
05/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MCNALLY
Authorized Official First Name:
BARBARA
Authorized Official Middle Name:
J
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
248-603-4096

Provider Taxonomy Codes

  • Taxonomy code: 207VG0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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