Healthcare Provider Details

I. General information

NPI: 1467562058
Provider Name (Legal Business Name): URGENT CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 05/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3143 PELHAM PKWY STE 100
PELHAM AL
35124-2028
US

IV. Provider business mailing address

2016 STONEGATE TRAIL SUITE 112
VESTAVIA HILLS AL
35242-2260
US

V. Phone/Fax

Practice location:
  • Phone: 205-620-2273
  • Fax: 205-620-2279
Mailing address:
  • Phone: 205-545-9530
  • Fax: 205-545-9529

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: MR. RANDY HAMMOND
Title or Position: ADMINISTRATOR
Credential: CPA
Phone: 205-981-9533