Superior Walk-In Center, Pc

LBN: Superior Walk-In Center, Pc
Superior Walk-In Center, Pc is an health care organization with primary practice located at 1414 W Fair Ave Suite 134, Marquette MI 49855-2675. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Superior Walk-In Center, Pc can be contacted via phone (906) 226-2233, or through Olson, Kurt Richard via phone (906) 387-4220.

Contact Information

Primary practice address
1414 W Fair Ave Suite 134 Marquette MI 49855-2675
Fax: (906) 226-2409
Website:
Authorized official contact:
Name: Olson, Kurt Richard Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1497806418
LBN Legal business name Superior Walk-In Center, Pc
DBA Doing business as
Authorized official Olson, Kurt Richard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 14th, 2008 - about 16 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 1497806418 NPPES
Michigan Other 080Z210080 BLUE CROSS GROUP
Michigan Other 0800217321 BLUE CROSS GROUP
Michigan MEDICAID 3114604 BLUE CROSS GROUP
Michigan Other 135602000 BLUE CROSS GROUP
Michigan Other 23D961305 BLUE CROSS GROUP
Michigan Other 135602000 BLUE CROSS GROUP

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