Healthcare Provider Details

I. General information

NPI: 1699226308
Provider Name (Legal Business Name): MEDRX URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2016
Last Update Date: 10/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 S MAC ARTHUR LN
SIOUX FALLS SD
57108-5401
US

IV. Provider business mailing address

60 LORRAINE CT
HOLBROOK NY
11741-1540
US

V. Phone/Fax

Practice location:
  • Phone: 949-281-9086
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: MARC RESASCO
Title or Position: OWNER
Credential:
Phone: 949-281-9086