Bayside Docs Urgent Care Plc

LBN: Bayside Docs Urgent Care Plc
Bayside Docs Urgent Care Plc is an health care organization with primary practice located at 401 Munson Ave , Traverse City MI 49686-3041. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Bayside Docs Urgent Care Plc can be contacted via phone (231) 933-9150, or through Jamrog, Brooke via phone (231) 933-3283.

Contact Information

Primary practice address
401 Munson Ave Traverse City MI 49686-3041
Fax: (231) 933-1553
Website:
Authorized official contact:
Name: Jamrog, Brooke

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 4301056827 Michigan

Profile Details

NPI number 1316092943
LBN Legal business name Bayside Docs Urgent Care Plc
DBA Doing business as
Authorized official Jamrog, Brooke
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Mar 9th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316092943 NPPES
Michigan Other P1143353 BCN
Michigan Other 364465889 BCN
Michigan Other 102803802 BCN
Michigan MEDICAID 4415649 TYPE 10 BCN

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