PHYSICIAN HEALTHCARE NETWORK, PC
NPI 1295941375
Clinic/Center - Urgent Care in Lenox, MI

NPI Status: Active since May 15, 2007

Contact Information

36267 26 MILE RD STE 3
LENOX, MI
ZIP 48048
Phone: (586) 716-1371
Fax: (586) 716-4855

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  • Organization
  • Clinic/Center
  • Urgent Care
  • Accepts Insurance
  • CLIA Number: 23D1036028
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-18-2027

About PHYSICIAN HEALTHCARE NETWORK, PC

This page provides the complete NPI Profile along with additional information for Physician Healthcare Network, Pc, a provider established in Lenox, Michigan operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1295941375 assigned on May 2007. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mimma Cusumano (Director Of Finance)

NPI
1295941375
Provider Name
PHYSICIAN HEALTHCARE NETWORK, PC
Entity Type
Organization
Location Address
36267 26 MILE RD STE 3 LENOX, MI 48048
Location Phone
(586) 716-1371
Location Fax
(586) 716-4855
Mailing Address
3050 COMMERCE DR FORT GRATIOT, MI 48059
Mailing Phone
(810) 385-4441
Mailing Fax
(586) 716-4855
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2007
Last Update Date
08-09-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities
License State
MI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze First - HMO
  • Bronze First Adult Vision & Fitness - HMO
  • Diabetes Gold - HMO
  • Diabetes Gold Adult Vision & Fitness - HMO
  • Diabetes Silver - HMO
  • Diabetes Silver Adult Vision & Fitness - HMO
  • Gold - HMO
  • Gold Adult Vision & Fitness - HMO
  • HDHP Preventive Silver - HMO
  • Healthy Heart Gold - HMO
  • Healthy Heart Gold Adult Vision & Fitness - HMO
  • Healthy Heart Silver - HMO
  • Healthy Heart Silver Adult Vision & Fitness - HMO
  • Low Premium Silver - HMO
  • Low Premium Silver Adult Vision & Fitness - HMO
  • Silver - HMO
  • Silver Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MIMMA CUSUMANO

Authorized Official Title
DIRECTOR OF FINANCE
Authorized Official Phone
(810) 385-8081

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D1036028
Facility Type
Physician Office
Certificate Effective Date
January 19, 2025
Certificate Expiration Date
January 18, 2027
Laboratory Director
PIETRO O. CAVATAIO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Physician Healthcare Network, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295941375
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221851842314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 8 + 4 + 2 + 3 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1295941375 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912400136 KATHERINE HOLDWICK FNP-C
Individual
Nurse Practitioner (Family)36267 26 MILE RD STE 3
LENOX, MI 48048
(586) 716-1371
1558025635 LAUREN LEE GAUTHIER NP-C
Individual
Nurse Practitioner (Family)36267 26 MILE RD STE 3
LENOX, MI 48048
(586) 716-1371
1447962113MRS. JENNY GAYLE YESTREPSKY NP
Individual
Nurse Practitioner (Family)36267 26 MILE RD STE 3
LENOX, MI 48048
(586) 716-1371
1902474778 TARA ELAINE FLETCHER FNP
Individual
Nurse Practitioner (Family)36267 26 MILE RD STE 3
LENOX, MI 48048
(586) 716-1371

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295941375, enumerated in the NPI registry as an "organization" on May 15, 2007

The provider is located at 36267 26 Mile Rd Ste 3 Lenox, Mi 48048 and the phone number is (586) 716-1371

This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care

The provider might be accepting Accepts: HAP CareSource. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 23D1036028 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.