| Organization Name: | ST JOHN HARRISON TOWNSHIP URGENT CARE |
| NPI Number: | 1750680757 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TOMASINE MARX (CFO) |
| Mailing Address: | 25990 Crocker Blvd Harrison Twp |
| State: | MI US |
| Postal Code: | 480453450 |
| Phone Number: | 5864665466 |
| Fax Number: | |
| NPI Enumeration Date: | 03/17/2011 |
| NPI Last Update Date: | 03/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |