Provider Demographics
NPI:1487252458
Name:MIDLAND EXPRESS URGENT AND FAMILY CARE PLC
Entity type:Organization
Organization Name:MIDLAND EXPRESS URGENT AND FAMILY CARE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:989-708-9074
Mailing Address - Street 1:600 CAMBRIDGE ST STE 1
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48642-4508
Mailing Address - Country:US
Mailing Address - Phone:989-486-3682
Mailing Address - Fax:
Practice Address - Street 1:600 CAMBRIDGE ST STE 1
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-4508
Practice Address - Country:US
Practice Address - Phone:989-486-3682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty