Provider Demographics
NPI:1518470111
Name:ORCHARDS FOR URGENT CARE SERVICES,PLLC
Entity Type:Organization
Organization Name:ORCHARDS FOR URGENT CARE SERVICES,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:586-855-2175
Mailing Address - Street 1:8679 26 MILE RD # 320
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48094-2967
Mailing Address - Country:US
Mailing Address - Phone:586-786-4334
Mailing Address - Fax:586-232-3554
Practice Address - Street 1:60005 CAMPGROUND RD STE 600
Practice Address - Street 2:
Practice Address - City:WASHINGTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48094-3447
Practice Address - Country:US
Practice Address - Phone:586-552-0269
Practice Address - Fax:586-232-3554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-06
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1730492521Medicaid