Organization Name: | PHOENIX URGENT CARE,LLC |
NPI Number: | 1154528446 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONY J. SCHMIDT (CEO) |
Mailing Address: | 2076 Us 69 Hayesville |
State: | NC US |
Postal Code: | 289047036 |
Phone Number: | 8283891617 |
Fax Number: | 8283891640 |
NPI Enumeration Date: | 06/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |