Basic Information
| Provider Information | |||||||||
| NPI: | 1265962708 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | OUCH URGENT CARE OF HAMILTON LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1195 MILITARY ST S | ||||||||
| Address2: | |||||||||
| City: | HAMILTON | ||||||||
| State: | AL | ||||||||
| PostalCode: | 355705048 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059212273 | ||||||||
| FaxNumber: | 6014205299 | ||||||||
| Practice Location | |||||||||
| Address1: | 1195 MILITARY ST S | ||||||||
| Address2: | |||||||||
| City: | HAMILTON | ||||||||
| State: | AL | ||||||||
| PostalCode: | 355705048 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059212273 | ||||||||
| FaxNumber: | 6014205299 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | MCCOY | ||||||||
| AuthorizedOfficialFirstName: | BRIAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2059212273 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.