Provider Demographics
NPI:1700036936
Name:OXFORD URGENT CARE P L C
Entity Type:Organization
Organization Name:OXFORD URGENT CARE P L C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TABATHA
Authorized Official - Middle Name:LEANNE
Authorized Official - Last Name:STAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-853-2009
Mailing Address - Street 1:72 S WASHINGTON ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-6421
Mailing Address - Country:US
Mailing Address - Phone:248-236-8333
Mailing Address - Fax:248-236-8666
Practice Address - Street 1:72 S WASHINGTON ST
Practice Address - Street 2:SUITE 102
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-6421
Practice Address - Country:US
Practice Address - Phone:248-236-8333
Practice Address - Fax:248-236-8666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI700F379500OtherBCBS OF MICHIGAN
MI1700036936OtherBLUE CARE NETWORK OF MI
MI170036936OtherCOMMERCIAL
MI1700036936Medicaid
MI700F379500OtherBCBS OF MICHIGAN