PHYSICIAN HEALTHCARE NETWORK, PC
NPI 1245445972
Clinic/Center - Urgent Care in Port Huron, MI

Q: What is Physician Healthcare Network, PC's NPI number?

The NPI number for Physician Healthcare Network, PC is 1245445972. It was assigned to this organization in the NPPES registry on May 14, 2007.

Q: What is Physician Healthcare Network, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Active since May 14, 2007CLIA 23D1049795 · Waiver

2425 MILITARY ST BLDG 2, PORT HURON, MI 48060(810) 984-5700(810) 984-1886 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2022, Jul 21, 2022, Feb 15, 2022 (3 updates tracked since 2022).

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About Physician Healthcare Network, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIAN HEALTHCARE NETWORK, PC (NPI 1245445972) is a healthcare organization registered as an urgent care in Port Huron, Michigan and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through January 17, 2028 and lists Mimma Cusumano, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1245445972

Entity TypeOrganization

Primary Taxonomy261QU0200X

Legal Business NamePHYSICIAN HEALTHCARE NETWORK, PC

Location Address2425 MILITARY ST BLDG 2Port Huron, MI 48060-6692

Mailing Address3050 Commerce DrFort Gratiot, MI 48059-3819 · (810) 385-4441

Phone(810) 984-5700

Fax(810) 984-1886

Organization SubpartNo

Authorized OfficialMimma CusumanoDirector Of Finance · (810) 385-8081

Enumeration DateMay 14, 2007

Last NPPES UpdateAugust 9, 20223 updates tracked since enumeration

NPPES CertifiedAugust 9, 2022

✔ NPI 1245445972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities

Taxonomy Code261QU0200X

2425 MILITARY ST BLDG 2, Port Huron, MI 48060

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1049795

Physician Healthcare Network · Port Huron, MI

Active · expires Jan 17, 2028

CLIA Number23D1049795

Laboratory TypePhysician Office

Certificate Effective DateJanuary 18, 2026

Certificate Expiration DateJanuary 17, 2028

Laboratory DirectorMichele L. Raymond

Laboratory Phone(810) 984-5700

Laboratory LocationPhysician Healthcare Network2425 Military Street, Building #2, Port Huron, MI 48060

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physician Healthcare Network, PC's NPI number?

The NPI number for Physician Healthcare Network, PC is 1245445972. It was assigned to this organization in the NPPES registry on May 14, 2007.

Where is Physician Healthcare Network, PC located?

Physician Healthcare Network, PC is located at 2425 Military St Bldg 2, Port Huron, MI 48060. The listed phone number is (810) 984-5700.

What is Physician Healthcare Network, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Physician Healthcare Network, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1049795) is associated with this NPI, valid through January 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Physician Healthcare Network, PC was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.