Healthcare Provider Details
I. General information
NPI: 1922281161
Provider Name (Legal Business Name): AMERICAN CURRENT CARE P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/11/2007
Last Update Date: 04/21/2022
Certification Date: 04/21/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1617 SOUTH 3RD STREET
ST. LOUIS MO
63104-3839
US
IV. Provider business mailing address
5080 SPECTRUM DRIVE SUITE 1200 WEST TOWER
ADDISON TX
75001-4648
US
V. Phone/Fax
- Phone: 314-421-2557
- Fax: 314-421-2046
- Phone: 800-232-3550
- Fax:
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:
ROBERT
G
HASSETT
Title or Position: VP
Credential:
Phone: 972-364-8000