Healthcare Provider Details

I. General information

NPI: 1912420126
Provider Name (Legal Business Name): RURAL URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2017
Last Update Date: 07/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6280 GRELOT ROAD
MOBILE AL
36609
US

IV. Provider business mailing address

1420 N BRINDLEE MOUNTAIN PKWY
ARAB AL
35016-5431
US

V. Phone/Fax

Practice location:
  • Phone: 251-288-5606
  • Fax:
Mailing address:
  • Phone: 256-677-4553
  • Fax:

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: SAM ESKILDSEN
Title or Position: REPRESENTATIVE
Credential:
Phone: 205-337-0365