Healthcare Provider Details

I. General information

NPI: 1285185587
Provider Name (Legal Business Name): ZIPCLINIC URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2016
Last Update Date: 06/27/2022
Certification Date: 06/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2508 SCOTTSVILLE RD SUITE 102
BOWLING GREEN KY
42104-4400
US

IV. Provider business mailing address

2508 SCOTTSVILLE RD SUITE 102
BOWLING GREEN KY
42104-4400
US

V. Phone/Fax

Practice location:
  • Phone: 270-746-6330
  • Fax:
Mailing address:
  • Phone: 270-746-6330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number3010757
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHELE KNORR
Title or Position: SR. CONTRACTING & CREDENTIALING SPE
Credential:
Phone: 605-789-6695