Healthcare Provider Details
I. General information
NPI: 1295028082
Provider Name (Legal Business Name): COMPASS URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/26/2011
Last Update Date: 05/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9985 AIRPORT BLVD
MOBILE AL
36608-9525
US
IV. Provider business mailing address
9985 AIRPORT BOULEVARD
MOBILE AL
36608
US
V. Phone/Fax
- Phone: 251-633-2273
- Fax:
- Phone: 251-633-2273
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | AL 17294 |
| License Number State | AL |
VIII. Authorized Official
Name: DR.
RICHARD
ALLEN
OYLER
Title or Position: OWNER
Credential: M.D.
Phone: 251-633-2273