Provider Demographics
NPI:1356014567
Name:PLAINWELL URGENT CARE WALK-IN CLINIC PC
Entity Type:Organization
Organization Name:PLAINWELL URGENT CARE WALK-IN CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLNAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-948-3055
Mailing Address - Street 1:501 E CHICAGO BLVD
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:MI
Mailing Address - Zip Code:49286-1515
Mailing Address - Country:US
Mailing Address - Phone:517-662-3144
Mailing Address - Fax:
Practice Address - Street 1:1221 M 89 STE 200
Practice Address - Street 2:
Practice Address - City:PLAINWELL
Practice Address - State:MI
Practice Address - Zip Code:49080-1180
Practice Address - Country:US
Practice Address - Phone:517-662-3144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care