Healthcare Provider Details

I. General information

NPI: 1770997579
Provider Name (Legal Business Name): COMPASS PROVIDENCE URGENT CARE LLLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2014
Last Update Date: 06/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6901 AIRPORT BLVD
MOBILE AL
36608-3795
US

IV. Provider business mailing address

6901 AIRPORT BLVD
MOBILE AL
36608-3795
US

V. Phone/Fax

Practice location:
  • Phone: 251-633-2273
  • Fax: 251-633-2850
Mailing address:
  • Phone: 251-633-2273
  • Fax: 251-633-2850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD OYLER
Title or Position: OWNER
Credential: MD
Phone: 251-633-2273