| Organization Name: | COMMUNITY URGENT CARE CENTER, INC |
| NPI Number: | 1750715207 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA S TUCKER (PRESIDENT) |
| Mailing Address: | 110 S New Albany St Sellersburg |
| State: | IN US |
| Postal Code: | 471721540 |
| Phone Number: | 8129892564 |
| Fax Number: | 8663653865 |
| NPI Enumeration Date: | 09/01/2013 |
| NPI Last Update Date: | 09/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 71002974A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |