Basic Information
| Provider Information | |||||||||
| NPI: | 1629348065 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | URGENT CARE OF THE VALLEY INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 8129 | ||||||||
| Address2: | |||||||||
| City: | KENTWOOD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 495188129 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8003789991 | ||||||||
| FaxNumber: | 6169498540 | ||||||||
| Practice Location | |||||||||
| Address1: | 29826 HAUN RD | ||||||||
| Address2: | SUITE 106 | ||||||||
| City: | SUN CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925866546 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6167740335 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/03/2012 | ||||||||
| LastUpdateDate: | 01/03/2012 | ||||||||
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| AuthorizedOfficialLastName: | WILLIAMS | ||||||||
| AuthorizedOfficialFirstName: | DEBRA | ||||||||
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| AuthorizedOfficialTitleorPosition: | SUPERVISOR | ||||||||
| AuthorizedOfficialTelephone: | 8003789991 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | CPC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QU0200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
No ID Information.