Basic Information
| Provider Information | |||||||||
| NPI: | 1619270394 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | URGENT CARES OF AMERICA NORTH CAROLINA INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 935 SHOTWELL RD | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | CLAYTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275205597 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9195500821 | ||||||||
| FaxNumber: | 9195500735 | ||||||||
| Practice Location | |||||||||
| Address1: | 1418 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | FUQUAY VARINA | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275268901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9195521733 | ||||||||
| FaxNumber: | 9195521495 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/17/2010 | ||||||||
| LastUpdateDate: | 01/17/2011 | ||||||||
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| AuthorizedOfficialLastName: | CATTO | ||||||||
| AuthorizedOfficialFirstName: | KATRINA | ||||||||
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| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT OF PRACTICE SERVICES | ||||||||
| AuthorizedOfficialTelephone: | 9195500821 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine | 208D00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.