Healthcare Provider Details

I. General information

NPI: 1629348065
Provider Name (Legal Business Name): URGENT CARE OF THE VALLEY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2012
Last Update Date: 01/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29826 HAUN RD SUITE 106
SUN CITY CA
92586-6546
US

IV. Provider business mailing address

PO BOX 8129
KENTWOOD MI
49518-8129
US

V. Phone/Fax

Practice location:
  • Phone: 616-774-0335
  • Fax:
Mailing address:
  • Phone: 800-378-9991
  • Fax: 616-949-8540

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: DEBRA WILLIAMS
Title or Position: SUPERVISOR
Credential: CPC
Phone: 800-378-9991