VITAL COMMUNITY CARE P C (NPI# 1477976686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477976686 |
| Entity Type | Organization |
| Organization Name | VITAL COMMUNITY CARE P C |
| Practice Address |
24371 W 10 Mile Rd Southfield MI 48033-2929 |
| Practice Telephone | 2488096088 |
| Practice Fax Number | 2488096085 |
| Mailing Telephone | 2488096088 |
| Mailing Fax Number | 2488096085 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |
| Authorized Official Name | DR. NAMIR ZUKKOOR (PRESIDENT) |
| Authorized Official Telephone | 2488510500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
24371 W 10 MILE RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043200132 | Edward Y Mishal | Internal Medicine | 24371 W 10 Mile Rd, Southfield, MI 48034-2929 | 2005-10-28 |
| 1912442104 | Innovative Health Group | Specialist | 24371 W 10 Mile Rd, Southfield, MI 48033-2929 | 2016-12-27 |
| 1669730008 | Casey Darrah | General Practice | 24371 W 10 Mile Rd, Southfield, MI 48033-2929 | 2012-04-23 |
| 1497843643 | Todd Michael Corden | Physician Assistant | 24371 W 10 Mile Rd, Southfield, MI 48034-2929 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326660929 | Doctors Urgent Care Southfield | Clinic/Center | 29405 Greenfield Rd, Southfield, MI 48076-2226 | 2020-05-18 |
| 1184151953 | Nuch of Michigan Inc. | Clinic/Center | 29628 Southfield Rd, Southfield, MI 48076-2039 | 2017-05-11 |
| 1144638321 | Southfield Urgent Care P.C. | Clinic/Center | 30000 Telegraph Rd, Southfield, MI 48034-7610 | 2014-07-31 |
| 1083239420 | Doctors Urgent Care Oakpark Southfield | Clinic/Center | 23303 Greenfield Rd, Southfield, MI 48075-3758 | 2020-06-11 |
| 1689235897 | Ieppc Urgent Care Pllc | Clinic/Center | 29169 Southfield Rd, Southfield, MI 48076-1900 | 2019-06-27 |
| 1568931897 | Southfield Premier Urgent Care and Walk-in Clinic Pllc | Clinic/Center | 17070 W 12 Mile Rd Ste A, Southfield, MI 48076-2116 | 2018-11-15 |
| 1649755125 | Express Med Urgent Care, Pllc | Clinic/Center | 19725 W 12 Mile Rd, Southfield, MI 48076-2584 | 2018-10-01 |
| 1134614258 | Fma Medix P.C. | Clinic/Center | 25130 Southfield Rd, Southfield, MI 48075-1910 | 2018-07-01 |
| 1154705374 | Michigan Medical Clinics, Inc | Clinic/Center | 29984 Telegraph Rd, Ste B, Southfield, MI 48034-1355 | 2015-07-17 |
| 1720369358 | Michigan Healthcare Professionals | Clinic/Center | 28625 Northwestern Hwy, Suite C, Southfield, MI 48034-1828 | 2011-09-09 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on VITAL COMMUNITY CARE P C.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.