Organization Name: | URGENT HEALTH CARE P.C. |
NPI Number: | 1548504053 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN ALAN HOLLEY (MEDICAL DIRECTOR) |
Mailing Address: | 212 N 3rd St Suite B Mccall |
State: | ID US |
Postal Code: | 836384414 |
Phone Number: | 2083154390 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2012 |
NPI Last Update Date: | 11/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | M-11371 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |