Provider Demographics
NPI:1679853915
Name:ADVANTAGE URGENT CARE
Entity Type:Organization
Organization Name:ADVANTAGE URGENT CARE
Other - Org Name:TRINITY MEDICAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:P
Authorized Official - Last Name:ALMATCHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-275-0065
Mailing Address - Street 1:37300 DEQUINDRE RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-3591
Mailing Address - Country:US
Mailing Address - Phone:586-275-0065
Mailing Address - Fax:586-275-0066
Practice Address - Street 1:37300 DEQUINDRE RD.
Practice Address - Street 2:SUITE 120
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310
Practice Address - Country:US
Practice Address - Phone:586-275-0065
Practice Address - Fax:586-275-0066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-18
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301070663261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care