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Blue Water Urgent Care

NPI Registration Record

Provider / OrganizationNPIDate Certified
BLUE WATER URGENT CARE14771350362021-04-25

The organization Blue Water Urgent Care is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1477135036. Registration indicates Blue Water Urgent Care is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Urgent Care, ) (All Other Specialties & Provider Types, ) (Clinic/Center Urgent Care, Ambulatory Health Care Facilities) (Clinic/Center, )

Entity TypeOrganization
Provider OrganizationBLUE WATER URGENT CARE
Practice Office Address3941 24TH AVE
FORT GRATIOT, MI US
Practice Office Telephone8108829373
Mailing Address3941 24TH AVE
FORT GRATIOT, MI 480594102 US
Business Telephone8108829373
Authorized OfficialIBRAHIM DABAJA, CEO
3133775758
HPT Codes
CodePractice
License No
State
261QU0200X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Urgent Care

All Other Specialties & Provider Types

Clinic/Center Urgent Care
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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