Provider Demographics
NPI:1750056099
Name:MEDICAL CARE COORDINATORS, INC.
Entity Type:Organization
Organization Name:MEDICAL CARE COORDINATORS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:JURCAK
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, CDMS, CCM
Authorized Official - Phone:586-294-0770
Mailing Address - Street 1:14323 E 11 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-4839
Mailing Address - Country:US
Mailing Address - Phone:586-294-0770
Mailing Address - Fax:586-294-7880
Practice Address - Street 1:14323 E 11 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-4839
Practice Address - Country:US
Practice Address - Phone:586-294-0770
Practice Address - Fax:586-294-7880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management