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) 989-7788
Fax: (810) 989-7799
- 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 February 2026. 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) 989-7788
- Location Fax
- (810) 989-7799
- Mailing Address
- 3050 COMMERCE DR FORT GRATIOT, MI 48059
- Mailing Phone
- (810) 385-4441
- Mailing Fax
- (810) 989-7799
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-15-2007
- Last Update Date
- 02-25-2026
- 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
*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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1639385784, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 76 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FORT GRATIOT, MI 48059
FORT GRATIOT, MI 48059
FORT GRATIOT, MI 48059
FORT GRATIOT, MI 48059
FORT GRATIOT, MI 48059
FORT GRATIOT, MI 48059
FORT GRATIOT, MI 48059
FORT GRATIOT, MI 48059
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639385784, enumerated 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) 989-7788.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
The provider might be accepting Accepts: Blue Care Network of Michigan. Please consult your insurance carrier or call the provider to verify.
