MEDICARE: DOCTORS URGENT CARE, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center		MO

General Provider Information

NPI Number	:	1750378220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTORS URGENT CARE, PC

Provider Business Mailing Address
First Line	:	1709 GIBSON ST
Second Line	:
City	:	WEST PLAINS
State	:	MO
Zip	:	65775-1815
Country	:	US
Telephone Number	:	417-256-1006
Fax Number	:	417-256-1007

Provider Business Practice Location Address
First Line	:	1709 GIBSON ST
Second Line	:
City	:	WEST PLAINS
State	:	MO
Zip	:	65775-1815
Country	:	US
Telephone Number	:	417-256-1006
Fax Number	:	417-256-1007

Authorized Official
Title or Position	:	OWNER
Name	:	DR. EMERSON W. IRELAND
Credential	:	D.O.
Telephone Number	:	417-256-1006

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	07/21/2022

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