Healthcare Provider Details
I. General information
NPI: 1205625100
Provider Name (Legal Business Name): DURANGO URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/06/2025
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1942 E MAIN ST
CORTEZ CO
81321-3039
US
IV. Provider business mailing address
2577 MAIN AVE
DURANGO CO
81301-5919
US
V. Phone/Fax
- Phone: 970-516-5500
- Fax: 970-259-4403
- Phone: 970-247-8382
- Fax: 970-259-4403
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRYAN
JAMES
VINCENT
Title or Position: CEO
Credential:
Phone: 970-247-8382