Healthcare Provider Details

I. General information

NPI: 1023568235
Provider Name (Legal Business Name): RURAL URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2016
Last Update Date: 10/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 MOODY PARKWAY
MOODY AL
35004-2213
US

IV. Provider business mailing address

1420 N BRINDLEE MOUNTAIN PKWY
ARAB AL
35016-5431
US

V. Phone/Fax

Practice location:
  • Phone: 205-352-2480
  • Fax:
Mailing address:
  • Phone:
  • 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