Organization Name: | NEW MD & URGENT CARE |
NPI Number: | 1679935753 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICOLE J VERMILION (OFFICE MANAGER) |
Mailing Address: | 3431 Broadway St Ste A8 American Canyon |
State: | CA US |
Postal Code: | 945031228 |
Phone Number: | 7077311108 |
Fax Number: | 7076522679 |
NPI Enumeration Date: | 03/28/2016 |
NPI Last Update Date: | 03/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 03836 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |