Provider Demographics
NPI:1326390618
Name:YPSILANTI URGENT CARE
Entity Type:Organization
Organization Name:YPSILANTI URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:JOERIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-633-9027
Mailing Address - Street 1:1715 WASHTENAW RD
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-2057
Mailing Address - Country:US
Mailing Address - Phone:734-544-8418
Mailing Address - Fax:734-544-8106
Practice Address - Street 1:1715 WASHTENAW RD
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-2057
Practice Address - Country:US
Practice Address - Phone:313-633-9062
Practice Address - Fax:313-633-9062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care