Organization Name: | MIDCITY URGENT CARE CENTER INC |
NPI Number: | 1003168089 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERTRUDE CHIMEKA-ANYANWOKE (OWNER) |
Mailing Address: | 3844 Convention Street Baton Rouge |
State: | LA US |
Postal Code: | 708063803 |
Phone Number: | 2252896803 |
Fax Number: | 2252896483 |
NPI Enumeration Date: | 10/15/2012 |
NPI Last Update Date: | 10/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | UC |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |