Healthcare Provider Details
I. General information
NPI: 1275851073
Provider Name (Legal Business Name): AMERICAN CURRENT CARE, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/04/2010
Last Update Date: 03/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12518 NE AIRPORT WAY SUITE 110
PORTLAND OR
97230-1078
US
IV. Provider business mailing address
5220 TENNYSON PKWY SUITE 400
PLANO TX
75024-4266
US
V. Phone/Fax
- Phone: 503-256-2992
- Fax: 503-258-0717
- Phone: 972-364-8000
- 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:
ROBERT
G.
HASSETT
Title or Position: PRESIDENT
Credential: DO MPH
Phone: 972-364-8000