| Organization Name: | ADVANCED URGENT CARE LLC |
| NPI Number: | 1093173304 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELLEN STOCKTON (BILLING MANAGER) |
| Mailing Address: | 112 S Denver Ave Fort Lupton |
| State: | CO US |
| Postal Code: | 806211306 |
| Phone Number: | 3036599700 |
| Fax Number: | 3035588222 |
| NPI Enumeration Date: | 02/01/2016 |
| NPI Last Update Date: | 02/01/2016 |
| 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: | |