| Organization Name: | MIDMICHIGAN URGENT CARE WEST BRANCH |
| NPI Number: | 1376986489 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ADELBERTO J ADAN (EXECUTIVE VP/COO) |
| Mailing Address: | 640 Court St West Branch |
| State: | MI US |
| Postal Code: | 486619390 |
| Phone Number: | 9893458120 |
| Fax Number: | |
| NPI Enumeration Date: | 04/09/2013 |
| NPI Last Update Date: | 04/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |