RIVER URGENT CARE & MEDICAL CLINIC PC (NPI# 1063482966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063482966 |
| Entity Type | Organization |
| Organization Name | RIVER URGENT CARE & MEDICAL CLINIC PC |
| Practice Address |
3645 West Rd Trenton MI 48183-2225 |
| Practice Telephone | 7346714900 |
| Practice Fax Number | 7346714949 |
| Mailing Telephone | 7346714900 |
| Mailing Fax Number | 7346714949 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | SAMER A NASRY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7346714900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | 4301052864 | MI | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS PIN | 1108253031 | 01 |
| MI | 4463280 10 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114255783 | River Urgent Care & Medical Clinic PC | Clinic/Center | 3645 West Rd, Trenton, MI 48183-2225 | 2009-11-19 |
| Street Address |
3645 WEST RD |
| City | TRENTON |
| State | MI |
| Zip Code | 48183-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508105099 | Emily Haas | Physician Assistant | 3645 West Rd, Trenton, MI 48183-2225 | 2013-02-04 |
| 1114255783 | River Urgent Care & Medical Clinic PC | Clinic/Center | 3645 West Rd, Trenton, MI 48183-2225 | 2009-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869324 | Tonya Saint Onge | Physical Therapy Assistant | Applewood Nursing Center, 18500 Van Horn Rd., Woodhaven, MI 48183 | 2019-09-09 |
| 1326568635 | Samantha Nicole Steffen | Behavior Technician | 3244 Concord, Trenton, MI 48183 | 2017-06-27 |
| 1225567688 | Nicholas Michael Abdallah | Dentist | 21080 Allen Road, Woodhaven, MI 48183 | 2017-06-08 |
| 1265823041 | Sherry A Dees Lmsw Acsw LLC | Counselor | 23933 Allen Road, Suite 3, Woodhaven, MI 48183 | 2015-02-14 |
| 1720480825 | Marlo Brazier | Technician, Other | 226000 West Rd, Apt 108, Trenton, MI 48183 | 2014-09-19 |
| 1679902597 | Henry Ford Wyandotte Hospital | Dietitian, Registered | 1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183 | 2013-11-02 |
| 1548605116 | Kay Vonne Cason Psy Pllc | Psychologist | 19366 Allen Rd Ste. D, Brownstown, MI 48183 | 2013-05-08 |
| 1891031118 | Mazin K Dds PC | Dentist | 22319 King Rd, Woodhaven, MI 48183 | 2012-12-13 |
| 1114241585 | John Shafer | Psychologist | 1660 Fort St, Trenton, MI 48183 | 2010-03-15 |
| 1982871026 | Anthony G Gray | Physical Therapist | 20059 King Road, Woodhaven, MI 48183 | 2008-05-08 |
| Find all providers in zip 48183 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649883000 | John Horvath | Emergency Medical Technician, Paramedic | 387 Cleveland St, Trenton, MI 48183-1206 | 2020-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425727 | Michael Douglas Christy | Emergency Medical Technician, Paramedic | 7728 21 Mile Rd, Shelby Township, MI 48317-4308 | 2020-10-24 |
| 1073121679 | Nelson Wyche Webb IIi | Emergency Medical Technician, Paramedic | 4901 Big Oak Trail Dr, Troy, MI 48098-4152 | 2020-07-20 |
| 1659902518 | Lawrence J Basaj | Emergency Medical Technician, Paramedic | 38550 Meadowdale St Apt 7, Clinton Township, MI 48036-3533 | 2020-01-30 |
| 1649743923 | James Jacob Vanoverbeke | Emergency Medical Technician, Paramedic | 1200 E Telegraph Rd., Pontiac, MI 48341 | 2019-01-09 |
| 1619416344 | Deborah Lee Jagotka | Emergency Medical Technician, Paramedic | 5922 Leroux Rd, Newport, MI 48166-9509 | 2017-02-14 |
| 1558716894 | Keith Edward Callewaert | Emergency Medical Technician, Paramedic | 48301 Tonawonda Dr, Macomb, MI 48044 | 2016-04-24 |
| 1851757942 | Mark Reinink | Emergency Medical Technician, Paramedic | 15884 Beach Dr, Spring Lake, MI 49456-1804 | 2016-01-06 |
| 1558588582 | Shahzad S Qureshi | Emergency Medical Technician, Paramedic | 21000 Middlebelt Rd Ste C, Farmington Hills, MI 48336-5546 | 2007-04-19 |
| 1508931684 | Archy's & Sons, Inc | Emergency Medical Technician, Paramedic | 4148 Legion Dr, Mason, MI 48854-2546 | 2006-11-22 |
| 1386670933 | Sturgis Fire Ambulance | Emergency Medical Technician, Paramedic | 124 N Nottawa St, 201 Broadus St., Sturgis, MI 49091-1433 | 2006-06-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.