Basic Information
Provider Information
NPI: 1588853337
EntityType: 2
ReplacementNPI:  
OrganizationName: AMERICAN CURRENT CARE PA
LastName:  
FirstName:  
MiddleName:  
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Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 5080 SPECTRUM DRIVE
Address2: SUITE 1200 WEST
City: ADDISON
State: TX
PostalCode: 750014625
CountryCode: US
TelephoneNumber: 8002323550
FaxNumber: 9723878058
Practice Location
Address1: 2952 MEADE AVENUE
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 89102
CountryCode: US
TelephoneNumber: 7028711721
FaxNumber: 7028715127
Other Information
ProviderEnumerationDate: 10/17/2007
LastUpdateDate: 05/14/2015
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: HASSETT
AuthorizedOfficialFirstName: ROBERT
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 9723648000
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: DO
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261Q00000X  N Ambulatory Health Care FacilitiesClinic/Center 
261QU0200X  Y Ambulatory Health Care FacilitiesClinic/CenterUrgent Care

No ID Information.


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