Organization Name: | UR1SOURCE |
NPI Number: | 1053700799 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON L SCOTT (PRESIDENT) |
Mailing Address: | 231 Hillbrook Dr Cameron |
State: | NC US |
Postal Code: | 283268846 |
Phone Number: | 9193432041 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2015 |
NPI Last Update Date: | 01/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |