MEDICAL RESOURCE GROUP (NPI# 1205085487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205085487 |
| Entity Type | Organization |
| Organization Name | MEDICAL RESOURCE GROUP |
| Other Organization Name | ST. JOHN URGENT CARE - CONNER CREEK |
| Practice Address |
4777 E Outer Dr Urgent Care Department Detroit MI 48234-3241 |
| Mailing Address |
43750 Garfield Rd Suite 211 Clinton Township MI 48038-1135 |
| Practice Telephone | 3133699100 |
| Practice Fax Number | 3133695688 |
| Mailing Telephone | 8779969975 |
| Mailing Fax Number | 5862284533 |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |
| Authorized Official Name | JENNIFER JOHNSON (DIRECTOR) |
| Authorized Official Telephone | 8779969975 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St. John Urgent Care - Conner Creek | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326257148 | Medical Resource Group | Obstetrics & Gynecology | 15990 W 9 Mile Rd, Southfield, MI 48075-4826 | 2007-05-21 |
| 1184711129 | Medical Resource Group | Internal Medicine | 24371 West Ten Mile Road, Southfield, MI 48034 | 2006-10-10 |
| 1063854941 | Medical Resource Group | Clinic/Center | 21000 E 12 Mile Rd, Suite 105, Saint Clair Shores, MI 48081-1116 | 2013-07-22 |
| 1720233968 | Medical Resource Group | Clinic/Center | 17900 23 Mile Rd, Suite 406, Macomb, MI 48044-1161 | 2008-12-01 |
| 1073765046 | Medical Resource Group | Clinic/Center | 46591 Romeo Plank Rd, Suite 133, Macomb, MI 48044-5742 | 2008-10-21 |
| 1922257401 | Medical Resource Group | Clinic/Center | 7733 E Jefferson Ave, Detroit, MI 48214-3707 | 2008-09-09 |
| 1083862015 | Medical Resource Group | Clinic/Center | 5575 Conner St, Detroit, MI 48213-6400 | 2008-09-03 |
| 1356525562 | Medical Resource Group | Dietitian, Registered | 45660 Schoenherr Rd, Shelby Township, MI 48315-6033 | 2007-12-24 |
| 1982883625 | Medical Resource Group | Prosthetic/Orthotic Supplier | 13850 E 12 Mile Rd, Ste 2-b, Warren, MI 48088-3730 | 2007-10-30 |
| 1871783530 | Medical Resource Group | Emergency Medicine | 7733 E Jefferson Ave, Detroit, MI 48214-3707 | 2007-07-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MEDICAL RESOURCE GROUP, LLC | 2310 Cottage St Se, Salem, OR 97302 |
| Street Address |
4777 E OUTER DR URGENT CARE DEPARTMENT |
| City | DETROIT |
| State | MI |
| Zip Code | 48234-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841230745 | Carla M Smith | Social Worker | 4777 E Outer Dr, Ste 183, Detroit, MI 48234-3241 | 2006-06-08 |
| 1962018457 | A Baby's Life, LLC | Case Management | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2020-09-20 |
| 1154933265 | Healing House, LLC | Community/Behavioral Health | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2020-08-19 |
| 1063063295 | Allison Jay | Dietitian, Registered | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2019-09-29 |
| 1063069359 | Faster Care Connor Creek, Pllc | Internal Medicine | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2019-08-21 |
| 1699335562 | Sidney Sharee-celestine Sparks | Social Worker | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2019-06-13 |
| 1417420514 | Alyssia Chantel Hence | Social Worker | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2019-01-10 |
| 1164917639 | Conner Creek Life Solutions LLC | Substance Abuse Rehabilitation Facility | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2018-06-27 |
| 1790292928 | Golden Point Community LLC | Assisted Living Facility | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2018-01-09 |
| 1154850543 | Stephanie Graves | Social Worker | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2017-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205332483 | Bryce Xavier Bredell | Student in an Organized Health Care Education/Training Program | 6071 E Outer Dr, Detroit, MI 48234 | 2018-04-05 |
| 1538668595 | Constance Durden | Social Worker | 19940 Conant Suite B, Detroit, MI 48234 | 2018-02-06 |
| 1891217717 | Donald Williams | Case Manager/Care Coordinator | 19133 Hasse, Detroit, MI 48234 | 2017-07-12 |
| 1063865830 | Gloria A. Love | Psychologist | 19677 Revere, Detroit, MI 48234 | 2016-07-18 |
| 1972977429 | Conant Garden Dental Center Dds PC | Dentist | 2430 E Seven Mile, Suite 6, Detroit, MI 48234 | 2015-11-20 |
| 1861878787 | Kenyatta Philips | Chore Provider | 20119 Helen St, Detroit, MI - MICHIGAN 48234 | 2015-08-03 |
| 1083977144 | Edward Powell | Counselor | 19436 Packard Street, Detroit, MI 48234 | 2012-06-22 |
| 1487931325 | Sonia Renee George | Case Manager/Care Coordinator | 8331 Yolanda St., Detroit, MI 48234 | 2011-11-07 |
| 1851682215 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin, Detroit, MI 48234 | 2011-04-20 |
| 1558662742 | Tenille Daniel | Home Health | 17210 Runyon, Detroit, MI 48234 | 2010-11-04 |
| Find all providers in zip 48234 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538704218 | West Park Medical Clinic PC | Clinic/Center | 16238 W Warren Ave, Detroit, MI 48228-3701 | 2019-11-17 |
| 1316420847 | Maxem Health Urgent Care Warren | Clinic/Center | 16144 W Warren Ave, Detroit, MI 48228-3763 | 2018-09-11 |
| 1417298100 | American Current Care of Michigan PC | Clinic/Center | 2630 E Jefferson Ave, Detroit, MI 48207-4129 | 2013-03-06 |
| 1811508229 | Aoun Medical Group Pllc | Clinic/Center | 5901 W Vernor Hwy, Detroit, MI 48209-2180 | 2020-08-11 |
| 1023644242 | Im Consultant | Clinic/Center | 6501 Greenfield Rd, Detroit, MI 48228-4780 | 2020-03-19 |
| 1801391230 | Iamerica Urgent Care PC | Clinic/Center | 19451 W Warren Ave, Detroit, MI 48228-3361 | 2018-03-27 |
| 1326405754 | City Urgent Care PC | Clinic/Center | 13403 W 7 Mile Rd, Detroit, MI 48235-1387 | 2016-01-15 |
| 1093180044 | The Wellness Plan | Clinic/Center | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2015-12-02 |
| 1669885521 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 4777 E Outer Dr, Urgent Care Department, Detroit, MI 48234-3241 | 2014-06-09 |
| 1578976437 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 5575 Conner St, Detroit, MI 48213-6400 | 2014-06-09 |
| Find all providers in DETROIT | ||||
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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.