Healthcare Provider Details

I. General information

NPI: 1518971910
Provider Name (Legal Business Name): HENDERSON COUNTY URGENT CARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 THOMPSON ST STE A
HENDERSONVILLE NC
28792-2895
US

IV. Provider business mailing address

212 THOMPSON ST STE A
HENDERSONVILLE NC
28792-2895
US

V. Phone/Fax

Practice location:
  • Phone: 828-697-3232
  • Fax: 828-698-0125
Mailing address:
  • Phone: 828-697-3232
  • Fax: 828-698-0125

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: GINNY BURLESON
Title or Position: DELEGATED OFFICER
Credential:
Phone: 828-694-8350