BLUE WATER URGENT CARE PLLC
NPI 1477135036
Clinic/Center - Urgent Care in Fort Gratiot, MI

Active since April 23, 2021CLIA 23D2223020 · Waiver
3941 24TH AVE, FORT GRATIOT, MI 48059(810) 882-9373 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2021, Apr 25, 2021 (2 updates tracked since 2021).

About Blue Water Urgent Care Pllc NPPES

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

BLUE WATER URGENT CARE PLLC (NPI 1477135036) is a healthcare organization registered as an urgent care in Fort Gratiot, Michigan and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through May 3, 2027 and lists Ibrahim Dabaja, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477135036
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameBLUE WATER URGENT CARE PLLC
Location Address3941 24TH AVEFort Gratiot, MI 48059-4102
Mailing Address3941 24th AveFort Gratiot, MI 48059-4102 · (810) 882-9373
Organization SubpartNo
Authorized OfficialIbrahim DabajaCeo · (313) 377-5758
Enumeration DateApril 23, 2021
Last NPPES UpdateJune 1, 20212 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
NPI 1477135036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
3941 24TH AVE, Fort Gratiot, MI 48059

Accepted Insurance

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 23D2223020

Blue Water Urgent Care · Fort Gratiot, MI
Active · expires May 3, 2027
CLIA Number23D2223020
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorIbrahim Dabaja
Laboratory Phone(313) 377-5758
Laboratory LocationBlue Water Urgent Care3941 24th Avenue, Fort Gratiot, MI 48059
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
3941 24TH AVE
FORT GRATIOT, MI 48059
Chiropractor
3941 24TH AVE
FORT GRATIOT, MI 48059

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 Blue Water Urgent Care PLLC's NPI number?

The NPI number for Blue Water Urgent Care PLLC is 1477135036. It was assigned to this organization in the NPPES registry on April 23, 2021.

Where is Blue Water Urgent Care PLLC located?

Blue Water Urgent Care PLLC is located at 3941 24th Ave, Fort Gratiot, MI 48059. The listed phone number is (810) 882-9373.

What is Blue Water Urgent Care PLLC's specialty?

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

Does Blue Water Urgent Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2223020) is associated with this NPI, valid through May 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Blue Water Urgent Care PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Blue Water Urgent Care PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blue Water Urgent Care PLLC was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.