Organization Name: | WILLOW URGENT CARE, A SUBSIDIARY OF MEMORIAL HEALTHCARE IPA |
NPI Number: | 1306855119 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHY GIES (CHIEF OPERATIONS OFFICER) |
Mailing Address: | 2704 E Willow St Signal Hill |
State: | CA US |
Postal Code: | 907552217 |
Phone Number: | 5629819500 |
Fax Number: | 5629819521 |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 07/08/2007 |
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: |