PHYSICIAN HEALTHCARE NETWORK, PC
NPI 1639385784
Clinic/Center - Urgent Care in Fort Gratiot, MI
NPI Status: Active since May 15, 2007
Contact Information
4190 24TH AVE
FORT GRATIOT, MI
ZIP 48059
Phone: (810) 989-7770
Fax: (810) 989-7760
- Organization
- Clinic/Center
- Urgent Care
- Accepts Insurance
- CLIA Number: 23D0364243
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-01-2027
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 Fort Gratiot, Michigan operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1639385784 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
- 1639385784
- Provider Name
- PHYSICIAN HEALTHCARE NETWORK, PC
- Entity Type
- Organization
- Location Address
- 4190 24TH AVE FORT GRATIOT, MI 48059
- Location Phone
- (810) 989-7770
- Location Fax
- (810) 989-7760
- Mailing Address
- 3050 COMMERCE DR FORT GRATIOT, MI 48059
- Mailing Phone
- (810) 385-4441
- Mailing Fax
- (810) 989-7760
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-15-2007
- Last Update Date
- 09-28-2022
- Code Navigator
Location Map
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:
- Blue Cross� Local HMO Bronze Extra - HMO
- Blue Cross� Local HMO Bronze Secure - HMO
- Blue Cross� Local HMO Silver Extra - HMO
- Blue Cross� Local HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- 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.
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
- 23D0364243
- Facility Type
- Physician Office
- Certificate Effective Date
- January 02, 2025
- Certificate Expiration Date
- January 01, 2027
- Laboratory Director
- DANIEL SOUPHIS
- 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.
Reviews for PHYSICIAN HEALTHCARE NETWORK, PC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 6 | 3 | 9 | 3 | 8 | 5 | 7 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 6 | 8 | 10 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 6 + 8 + 1 + 0 + 7 + 1 + 6 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1639385784 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922094556 | BUTHEINAH A AL-SHARAFI MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 4190 24TH AVE SUITE:201 FORT GRATIOT, MI 48059 (810) 989-7478 |
| 1669454559 | ENDOCRINOLOGY AND DIABETES CENTER OF PORT HURON PLLC Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 4190 24TH AVE SUITE: 201 FORT GRATIOT, MI 48059 (810) 989-7478 |
| 1700862935 | LAVI ROHATGI M.D. Individual | Family Medicine | 4190 24TH AVE FORT GRATIOT, MI 48059 (810) 989-7777 |
| 1700852738 | MICHAEL JOSEPH MCCARTHY PA-C Individual | Physician Assistant | 4190 24TH AVE SUITE 206 FORT GRATIOT, MI 48059 (810) 989-7788 |
| 1376551069 | DONALD G GRENSTINER CRNA Individual | Nurse Anesthetist, Certified Registered | 4190 24TH AVE FORT GRATIOT, MI 48059 (810) 989-7649 |
| 1578630968 | DR. STEVEN W. BREMER DPM Individual | Podiatrist (Foot & Ankle Surgery) | 4190 24TH AVE SUITE 104 FORT GRATIOT, MI 48059 (810) 989-7711 |
| 1376611251 | FAHIM K IBRAHIM MD Individual | Ophthalmology | 4190 24TH AVE SUITE 204 FORT GRATIOT, MI 48059 (810) 989-7702 |
| 1801955331 | HKB CORPORATION Organization | Podiatrist (Foot & Ankle Surgery) | 4190 24TH AVE SUITE 104 FORT GRATIOT, MI 48059 (810) 989-7711 |
| 1598882623 | HENRY R LOOTENS RPH Individual | Pharmacist | 4190 24TH AVE FORT GRATIOT, MI 48059 (810) 989-7480 |
| 1225201767 | FAHIM K IBRAHIM M.D., P.C. Organization | Specialist | 4190 24TH AVE SUITE 204 FORT GRATIOT, MI 48059 (810) 989-7702 |
| 1053399642 | FARRUKH ZAMAN NAQVI M.D. Individual | Family Medicine | 4190 24TH AVE FORT GRATIOT, MI 48059 (810) 989-7788 |
| 1316914245 | CHRISTOPHER J BORGIEL M.D. Individual | Family Medicine | 4190 24TH AVE FORT GRATIOT, MI 48059 (810) 989-7788 |
| 1225004252 | DANIEL C SOUPHIS D.O. Individual | Family Medicine | 4190 24TH AVE FORT GRATIOT, MI 48059 (810) 989-7788 |
| 1003204660 | BEVERLIE HOUSER AGPCNP-BC Individual | Nurse Practitioner (Gerontology) | 4190 24TH AVE FORT GRATIOT, MI 48059 (810) 989-7788 |
| 1033505110 | PRIME GARDEN CITY MEDICAL GROUP Organization | Internal Medicine | 4190 24TH AVE SUITE 206 FORT GRATIOT, MI 48059 (810) 216-4000 |
| 1437163409 | PORT HURON MERCY FAMILY CARE INC Organization | Family Medicine | 4190 24TH AVE SUITE 206 FORT GRATIOT, MI 48059 (810) 216-4000 |
| 1942615414 | MERCY SURGERY CARE NETWORK Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 4190 24TH AVE SUITE 206 FORT GRATIOT, MI 48059 (810) 989-7478 |
| 1902281736 | PORT HURON PHYSICIANS MEDICAL GROUP PC Organization | General Practice | 4190 24TH AVE STE 206 FORT GRATIOT, MI 48059 (810) 989-7700 |
| 1740424001 | RASHIM K GUPTA MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 4190 24TH AVE SUITE 206 FORT GRATIOT, MI 48059 (810) 989-7478 |
| 1134586852 | PRIME HEALTHCARE SERVICES-PORT HURON, LLC Organization | Clinic/Center (Ambulatory Surgical) | 4190 24TH AVE FORT GRATIOT, MI 48059 (810) 989-7700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639385784, enumerated in the NPI registry as an "organization" on May 15, 2007
The provider is located at 4190 24th Ave Fort Gratiot, Mi 48059 and the phone number is (810) 989-7770
This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care
The provider might be accepting Accepts: Blue Care Network of Michigan and 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 23D0364243 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.