Organization Name: | RURAL URGENT CARE LLC |
NPI Number: | 1932586476 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAM ESKILDSEN (MANAGING PARTNER) |
Mailing Address: | 1925 W Main St Ste 120 Centre |
State: | AL US |
Postal Code: | 359602812 |
Phone Number: | 2566774552 |
Fax Number: | 2052788560 |
NPI Enumeration Date: | 05/05/2015 |
NPI Last Update Date: | 05/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 31670 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |