Macomb Internal Med Ctr Pc

LBN: Macomb Internal Med Ctr Pc
Macomb Internal Med Ctr Pc is an health care organization with primary practice located at 12296 12 Mile Rd , Warren MI 48093. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Macomb Internal Med Ctr Pc can be contacted via phone (586) 751-5720, or through Rivera, Gina via phone (586) 751-5720.

Contact Information

Primary practice address
12296 12 Mile Rd Warren MI 48093
Phone: (586) 751-5720
Fax: (586) 751-2206
Website:
Map and Directions
Authorized official contact:
Name: Rivera, Gina
Phone: (586) 751-5720

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1568671550
LBN Legal business name Macomb Internal Med Ctr Pc
DBA Doing business as
Authorized official Rivera, Gina
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Mar 14th, 2013 - about 12 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 1568671550 NPPES
Michigan Other OP56670 MEDICARE PTAN

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