Provider Demographics
NPI:1609142439
Name:GLADWIN URGENT CARE PC
Entity Type:Organization
Organization Name:GLADWIN URGENT CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ABID
Authorized Official - Middle Name:
Authorized Official - Last Name:AGHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-426-1100
Mailing Address - Street 1:1277 E CEDAR AVE
Mailing Address - Street 2:STE A
Mailing Address - City:GLADWIN
Mailing Address - State:MI
Mailing Address - Zip Code:48624-7004
Mailing Address - Country:US
Mailing Address - Phone:989-426-1100
Mailing Address - Fax:989-426-1400
Practice Address - Street 1:1277 E CEDAR AVE
Practice Address - Street 2:STE A
Practice Address - City:GLADWIN
Practice Address - State:MI
Practice Address - Zip Code:48624-7004
Practice Address - Country:US
Practice Address - Phone:989-426-1100
Practice Address - Fax:989-426-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health