Provider Demographics
NPI:1235440124
Name:BEDFORD URGENT CARE, P.C.
Entity Type:Organization
Organization Name:BEDFORD URGENT CARE, P.C.
Other - Org Name:BEDFORD URGENT CARE, P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARSHAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-726-6500
Mailing Address - Street 1:7980 LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPERANCE
Mailing Address - State:MI
Mailing Address - Zip Code:48182-9580
Mailing Address - Country:US
Mailing Address - Phone:419-726-6500
Mailing Address - Fax:419-726-3775
Practice Address - Street 1:7980 LEWIS AVE
Practice Address - Street 2:
Practice Address - City:TEMPERANCE
Practice Address - State:MI
Practice Address - Zip Code:48182-9580
Practice Address - Country:US
Practice Address - Phone:419-726-6500
Practice Address - Fax:419-726-3775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-25
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301064164261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care