Organization Name: | PROMPT CARE EXPRESS PC |
NPI Number: | 1841268513 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY RUGE (ADMINISTRATOR) |
Mailing Address: | 892 E Chicago St Suite C Coldwater |
State: | MI US |
Postal Code: | 490362063 |
Phone Number: | 5172782301 |
Fax Number: | 5172782784 |
NPI Enumeration Date: | 03/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |