PHYSICIAN HEALTHCARE NETWORK, PC – NPI #1245445972
Clinic/Center

PHYSICIAN HEALTHCARE NETWORK, PC is an AHC clinic located in PORT HURON, MI. NPPES has assigned the NPI number 1245445972 to PHYSICIAN HEALTHCARE NETWORK, PC on May 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 4 years ago on Aug 09, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHYSICIAN HEALTHCARE NETWORK, PC below.

NPI Profile for
PHYSICIAN HEALTHCARE NETWORK, PC

NPI Number
1245445972
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHYSICIAN HEALTHCARE NETWORK, PC
Primary location
2425 MILITARY ST BLDG 2
PORT HURON, MI 48060-6692
Phone: (810) 984-5700 Fax: (810) 984-1886
Mailing address
3050 COMMERCE DR
FORT GRATIOT, MI 48059-3819
Phone: (810) 385-4441 Fax:
Organization Subpart
No
Authorized Official
MIMMA CUSUMANO
DIRECTOR OF FINANCE
Phone: (810) 385-8081
Updated
Certification Date
Aug 09, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)		 MI

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.