Provider Demographics
NPI:1144747460
Name:SPRINGFIELD URGENT CARE, P.L.L.C.
Entity Type:Organization
Organization Name:SPRINGFIELD URGENT CARE, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-942-5888
Mailing Address - Street 1:PO BOX 444
Mailing Address - Street 2:
Mailing Address - City:DAVISBURG
Mailing Address - State:MI
Mailing Address - Zip Code:48350-0444
Mailing Address - Country:US
Mailing Address - Phone:248-942-5888
Mailing Address - Fax:248-284-4335
Practice Address - Street 1:9749 DIXIE HWY STE B
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348-5406
Practice Address - Country:US
Practice Address - Phone:248-942-5888
Practice Address - Fax:248-284-4335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-28
Last Update Date:2017-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care