Healthcare Provider Details
I. General information
NPI: 1982887139
Provider Name (Legal Business Name): AMERICAN CURRENT CARE PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/11/2007
Last Update Date: 01/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8340 N. BROADWAY
ST. LOUIS MO
63147-2333
US
IV. Provider business mailing address
5080 SPECTRUM DR SUITE 1200 WEST
ADDISON TX
75001-4648
US
V. Phone/Fax
- Phone: 314-385-9563
- Fax: 314-385-9350
- Phone: 972-720-7772
- Fax: 214-775-4502
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: DR.
ROBERT
G
HASSETT
Title or Position: PRESIDENT AND TREASURER
Credential: DO MPH
Phone: 972-364-8000