SOUTHFIELD PREMIER URGENT CARE AND WALK-IN CLINIC PLLC (NPI# 1568931897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568931897 |
| Entity Type | Organization |
| Organization Name | SOUTHFIELD PREMIER URGENT CARE AND WALK-IN CLINIC PLLC |
| Practice Address |
17070 W 12 Mile Rd Ste A Southfield MI 48076-2116 |
| Practice Telephone | 2485592280 |
| Practice Fax Number | 2485593752 |
| Mailing Telephone | 2485592280 |
| Mailing Fax Number | 2485593752 |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2020-07-05 |
| Authorized Official Name | RAFID Y MANSOUR (PHYSICIAN/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2485592280 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
17070 W 12 MILE RD STE A |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265662308 | Rafid Y Mansour | Internal Medicine | 17070 W 12 Mile Rd Ste A, Southfield, MI 48076-2116 | 2009-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720236276 | Theramatrix, Inc | Clinic/Center | 24611 Greenfield Road, Southfield, MI 48075-3058 | 2008-09-08 |
| 1295744472 | Sacred Hope Center, Inc | Clinic/Center | 17333 W 10 Mile Rd, Southfield, MI 48075-2901 | 2006-08-05 |
| 1548627847 | Live Well Health LLC | Clinic/Center | 15565 Northland Dr, Suite 103w-b, Southfield, MI 48075 | 2016-01-19 |
| 1972904209 | Irvine Neuro Rehabilitation | Clinic/Center | 25700 Lahser Rd, Southfield, MI 48033 | 2014-09-05 |
| 1063857100 | Orthopedic Medical Recreation | Clinic/Center | 15600 W 12 Mile Rd, Southfield, MI 48076-3068 | 2013-05-02 |
| 1376814699 | Visiting Physicians, PC | Clinic/Center | 17260 W 10 Mile Rd, Southfield, MI 48075-2949 | 2012-01-18 |
| 1013240662 | American Current Care of Michigan, P.C. | Clinic/Center | 26185 Greenfield Rd, Southfield, MI 48076-4709 | 2009-09-15 |
| 1093943615 | Providence Hospital | Clinic/Center | 22250 Providence Dr, Suite 500, Southfield, MI 48075-4825 | 2009-06-23 |
| 1427284447 | Obo Incorporated | Clinic/Center | 29350 Southfield Rd, 101, Southfield, MI 48076-2053 | 2009-06-04 |
| 1306072327 | Lopez & Associates Inc | Clinic/Center | 29350 Southfield Rd, 101, Southfield, MI 48076-2053 | 2009-06-04 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
Please comment or provide details below to improve the information on SOUTHFIELD PREMIER URGENT CARE AND WALK-IN CLINIC PLLC.
| 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.