| Organization Name: | MEDAMERICA URGENT CARE LLC |
| NPI Number: | 1760710925 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK P ALEXANDER (DOCTOR) |
| Mailing Address: | 6309 Ventnor Ave Ventnor City |
| State: | NJ US |
| Postal Code: | 084062295 |
| Phone Number: | 6098230555 |
| Fax Number: | 6098230330 |
| NPI Enumeration Date: | 11/30/2009 |
| NPI Last Update Date: | 04/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 25MA08323800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |