Healthcare Provider Details

I. General information

NPI: 1093744229
Provider Name (Legal Business Name): AVON URGENT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10706 E US HIGHWAY 36
AVON IN
46123-7982
US

IV. Provider business mailing address

10706 E US HIGHWAY 36
AVON IN
46123-7982
US

V. Phone/Fax

Practice location:
  • Phone: 317-271-3600
  • Fax: 317-271-3604
Mailing address:
  • Phone: 317-271-3600
  • Fax: 317-271-3604

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: MS. KIMBERLY S SCHULTZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 317-271-3600