Provider Demographics
NPI:1679503718
Name:MACOMB PROMPT CARE PLLC
Entity Type:Organization
Organization Name:MACOMB PROMPT CARE PLLC
Other - Org Name:MACOMB PROMPT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LISA
Authorized Official - Last Name:HICHME
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-726-4823
Mailing Address - Street 1:43455 SCHOENHERR RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-1951
Mailing Address - Country:US
Mailing Address - Phone:586-726-4823
Mailing Address - Fax:586-726-8365
Practice Address - Street 1:15959 HALL RD
Practice Address - Street 2:SUITE 104
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-3904
Practice Address - Country:US
Practice Address - Phone:586-884-2688
Practice Address - Fax:586-725-8365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care