Healthcare Provider Details

I. General information

NPI: 1548456494
Provider Name (Legal Business Name): URGENT CARE NORTHWEST PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2007
Last Update Date: 07/05/2022
Certification Date: 07/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2708 HIGHWAY 78 E
JASPER AL
35501-3430
US

IV. Provider business mailing address

2708 HIGHWAY 78 E
JASPER AL
35501-3430
US

V. Phone/Fax

Practice location:
  • Phone: 205-387-2253
  • Fax: 205-387-2269
Mailing address:
  • Phone: 205-387-2253
  • Fax: 205-387-2405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DEAN ROBERT NADEN
Title or Position: MEDICAL DIRECTOR/OWNER
Credential: DO
Phone: 205-387-2253