Provider Demographics
NPI:1407382997
Name:BLOOMFIELD MEDICAL CENTER-URGENT CARE PLLC
Entity Type:Organization
Organization Name:BLOOMFIELD MEDICAL CENTER-URGENT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-203-1282
Mailing Address - Street 1:23900 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-2501
Mailing Address - Country:US
Mailing Address - Phone:248-427-8000
Mailing Address - Fax:
Practice Address - Street 1:23900 ORCHARD LAKE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-2501
Practice Address - Country:US
Practice Address - Phone:248-427-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care