Healthcare Provider Details

I. General information

NPI: 1356897987
Provider Name (Legal Business Name): AMERICAN CURRENT CARE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2016
Last Update Date: 09/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 MENAUL BLVD NE SUITE B
ALBUQUERQUE NM
87107-1872
US

IV. Provider business mailing address

5080 SPECTRUM DR SUITE 1200 WEST
ADDISON TX
75001-4648
US

V. Phone/Fax

Practice location:
  • Phone: 505-842-5151
  • Fax: 214-775-4502
Mailing address:
  • Phone: 972-720-7768
  • Fax: 214-775-4502

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: ROBERT HASSETT
Title or Position: PRESIDENT / TREASURER
Credential: DO MPH
Phone: 972-364-8000