Basic Information
Provider Information
NPI: 1871593442
EntityType: 2
ReplacementNPI:  
OrganizationName: URGENT CARE ASSOCIATES PLLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5038
Address2:  
City: ENID
State: OK
PostalCode: 737025038
CountryCode: US
TelephoneNumber: 5809771831
FaxNumber: 5805481537
Practice Location
Address1: 1805 W GARRIOTT RD
Address2:  
City: ENID
State: OK
PostalCode: 737035526
CountryCode: US
TelephoneNumber: 5802339012
FaxNumber: 5802494269
Other Information
ProviderEnumerationDate: 07/26/2005
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: OGLE
AuthorizedOfficialFirstName: C
AuthorizedOfficialMiddleName: MICHAEL
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 5802494269
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: DO
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QU0200X OKY Ambulatory Health Care FacilitiesClinic/CenterUrgent Care

No ID Information.


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