Organization Name: | US MED URGENT CARE, LLC |
NPI Number: | 1083071922 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONNA SCHMIDT (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 660 Kailua Rd Kailua |
State: | HI US |
Postal Code: | 967342809 |
Phone Number: | 8084562273 |
Fax Number: | 8084562274 |
NPI Enumeration Date: | 01/22/2016 |
NPI Last Update Date: | 03/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |