Wallace Urgent Care Llc in Wallace - Clinic/center
Wallace Urgent Care Llc - NPI 1841259025
Wallace Urgent Care Llc is a Clinic/center in Wallace, North Carolina. Wallace Urgent Care Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Wallace Urgent Care Llc is 1841259025. The last update date is 2008-04-20.
Wallace Urgent Care Llc's current location address is 112 Medical Village Dr, Wallace, North Carolina. You can contact this provider via phone number 9102850333 and fax number 9102850336. The mailing address for Wallace Urgent Care Llc is 112 Medical Village Dr, Wallace, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wallace Urgent Care Llc |
|---|---|
| Address | 112 Medical Village Dr, Wallace, North Carolina |
| Phone Number | 9102850333 |
| Fax Number | 9102850336 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Goudarzi Kamran |
| Credentials | M.D. |
| Telephone Number | 9102850333 |
NPI Number Detail
| NPI Number | 1841259025 |
|---|---|
| Provider Enumeration Date | 2006-03-17 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 112 Medical Village Dr |
|---|---|
| City | Wallace |
| State | North Carolina (NC) |
| Post Code | 284669999 |
| Phone Number | 9102850333 |
| Fax Number | 9102850336 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7901736 | NC | -- | |
| 1736 | NC | NCBCBS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Wallace Urgent Care Llc by the Centers for Medicare & Medicaid Services?
The Wallace Urgent Care Llc has been assigned the NPI (National Provider Identifier) 1841259025. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Wallace Urgent Care Llc's facilities are situated?
The facilities of Wallace Urgent Care Llc are physically located at the following address: 112 Medical Village Dr, Wallace, NC, 284669999.
What is Wallace Urgent Care Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wallace Urgent Care Llc is Clinic/center, and the taxonomy code that categorizes this field of expertise is 261Q00000X.
On what date did the Wallace Urgent Care Llc receive its 1841259025 assignment from the Centers for Medicare & Medicaid Services?
The Wallace Urgent Care Llc was assigned its 1841259025 by the Centers for Medicare & Medicaid Services on 2006-03-17.
As of what date were the details related to Wallace Urgent Care Llc most recently updated or revised?
The information pertaining to Wallace Urgent Care Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-20.