Fenton Late Hours Clinic in Fenton - Clinic/center
Fenton Late Hours Clinic - NPI 1619131646
Fenton Late Hours Clinic is a Clinic/center in Fenton, Michigan. Fenton Late Hours Clinic practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Fenton Late Hours Clinic is 1619131646. The last update date is 2008-07-18.
Fenton Late Hours Clinic's current location address is 102 N Adelaide St, Fenton, Michigan. You can contact this provider via phone number 8106297511 and fax number 8106296535. The mailing address for Fenton Late Hours Clinic is 102 N Adelaide St, Fenton, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fenton Late Hours Clinic |
|---|---|
| Address | 102 N Adelaide St, Fenton, Michigan |
| Phone Number | 8106297511 |
| Fax Number | 8106296535 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN/ |
|---|---|
| Authorized Official Name | Duncan L Deborah |
| Credentials | MD |
| Telephone Number | 8106297511 |
NPI Number Detail
| NPI Number | 1619131646 |
|---|---|
| Provider Enumeration Date | 2008-07-18 |
| Last Updated Date | 2008-07-18 |
Provider Mailing Address Detail
| Address | 102 N Adelaide St |
|---|---|
| City | Fenton |
| State | Michigan (MI) |
| Post Code | 484302670 |
| Phone Number | 8106297511 |
| Fax Number | 8106296535 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 4301051746 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 700B512020 | MI | BLUE CARE NETWORK ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Fenton Late Hours Clinic by the Centers for Medicare & Medicaid Services?
The Fenton Late Hours Clinic has been issued the NPI (National Provider Identifier) 1619131646 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Fenton Late Hours Clinic?
The Fenton Late Hours Clinic is physically situated at 102 N Adelaide St, in the city of Fenton, state of MI, with the postal code 484302670.
What is Fenton Late Hours Clinic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Fenton Late Hours Clinic is Clinic/center, and the taxonomy classification code that categorizes this area of expertise is 261Q00000X.
On what date was the 1619131646 assigned to Fenton Late Hours Clinic?
The Fenton Late Hours Clinic was issued its 1619131646 on 2008-07-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Fenton Late Hours Clinic's information last updated?
The Fenton Late Hours Clinic's information was last updated on 2008-07-18.