Provider Demographics
NPI:1326553959
Name:HOPE PRIMARY AND URGENT CARE OF BIG RAPIDS PLLC
Entity Type:Organization
Organization Name:HOPE PRIMARY AND URGENT CARE OF BIG RAPIDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-412-5590
Mailing Address - Street 1:9171 LAPEER ROAD
Mailing Address - Street 2:STE 100
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-3617
Mailing Address - Country:US
Mailing Address - Phone:810-412-5590
Mailing Address - Fax:810-412-5593
Practice Address - Street 1:201 LINDEN STREET
Practice Address - Street 2:
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307
Practice Address - Country:US
Practice Address - Phone:231-796-2801
Practice Address - Fax:231-796-0042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-05
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care