BLUEWATER URGENT CARE CLINIC PLLC – NPI #1760128755
Clinic/Center

BLUEWATER URGENT CARE CLINIC PLLC is an AHC clinic located in ALGONAC, MI. NPPES has assigned the NPI number 1760128755 to BLUEWATER URGENT CARE CLINIC PLLC on May 11, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 Jul 03, 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 BLUEWATER URGENT CARE CLINIC PLLC below.

NPI Profile for
BLUEWATER URGENT CARE CLINIC PLLC

NPI Number
1760128755
Enumeration Date

(more than 4 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
BLUEWATER URGENT CARE CLINIC PLLC
Primary location
2700 POINTE TREMBLE RD
ALGONAC, MI 48001-1836
Phone: (586) 625-0455 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
IBRAHIM DABAJA
PRESIDENT
Phone: (810) 662-2827
Updated
Certification Date
Jul 03, 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)
207PE0004X
- Emergency Medicine / Emergency Medical Services

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.