Provider Demographics
NPI:1336536655
Name:LAPEER COMMUNITY URGENT CARE
Entity Type:Organization
Organization Name:LAPEER COMMUNITY URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GEN PTR
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ALASBAHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-686-1997
Mailing Address - Street 1:1225 SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-3919
Mailing Address - Country:US
Mailing Address - Phone:810-969-4546
Mailing Address - Fax:
Practice Address - Street 1:1225 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-3919
Practice Address - Country:US
Practice Address - Phone:810-686-1997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-24
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty