Healthcare Provider Details

I. General information

NPI: 1497077978
Provider Name (Legal Business Name): M-URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2010
Last Update Date: 04/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11580 OVERLOOK DR SUITE 100
FISHERS IN
46037-4212
US

IV. Provider business mailing address

4850 CENTURY PLAZA RD SUITE 140
INDIANAPOLIS IN
46254-5476
US

V. Phone/Fax

Practice location:
  • Phone: 317-567-5252
  • Fax: 317-567-5253
Mailing address:
  • Phone: 317-216-2828
  • Fax: 317-216-2839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS BRINK
Title or Position: CEO
Credential:
Phone: 317-216-2520