Healthcare Provider Details

I. General information

NPI: 1457038408
Provider Name (Legal Business Name): URGENT CARE EMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2023
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 CORPORATE CENTER DR STE E
STOCKBRIDGE GA
30281-7377
US

IV. Provider business mailing address

950 EAGLES LANDING PKWY STE 1100
STOCKBRIDGE GA
30281-7343
US

V. Phone/Fax

Practice location:
  • Phone: 678-272-7635
  • Fax:
Mailing address:
  • Phone: 678-272-7635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2278H0200X
TaxonomyHome Health Certified Respiratory Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: WALTER WHITE
Title or Position: CEO
Credential:
Phone: 703-459-5608