Provider Demographics
NPI:1649949058
Name:INTEGRATIVE URGENT CARE PC
Entity type:Organization
Organization Name:INTEGRATIVE URGENT CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:INA
Authorized Official - Middle Name:
Authorized Official - Last Name:MELAKUQI
Authorized Official - Suffix:
Authorized Official - Credentials:CMA
Authorized Official - Phone:586-854-9001
Mailing Address - Street 1:1537 E HILL RD STE 400
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-5190
Mailing Address - Country:US
Mailing Address - Phone:810-333-7309
Mailing Address - Fax:949-561-4538
Practice Address - Street 1:1537 E HILL RD STE 400
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-5190
Practice Address - Country:US
Practice Address - Phone:810-333-7309
Practice Address - Fax:949-561-4538
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PERSONALIZED FAMILY CARE PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care