Provider Demographics
NPI:1790141398
Name:GET WELL URGENT CARE MADISON HEIGHTS PLC
Entity type:Organization
Organization Name:GET WELL URGENT CARE MADISON HEIGHTS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LENA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-717-8738
Mailing Address - Street 1:350 E 12 MILE RD
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-2531
Mailing Address - Country:US
Mailing Address - Phone:313-945-5450
Mailing Address - Fax:
Practice Address - Street 1:350 E 12 MILE RD
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-2531
Practice Address - Country:US
Practice Address - Phone:248-716-8600
Practice Address - Fax:248-716-8602
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GET WELL URGENT CARE MADISON HEIGHTS PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-12
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301084551261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care