Healthcare Provider Details

I. General information

NPI: 1760665103
Provider Name (Legal Business Name): AMERICAN CURRENT CARE, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2007
Last Update Date: 02/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 KIMBALL AVENUE SUITE 115
SOUTH BURLINGTON VT
05403
US

IV. Provider business mailing address

5080 SPECTRUM DRIVE SUITE 1200 WEST
ADDISON TX
75001-4625
US

V. Phone/Fax

Practice location:
  • Phone: 802-658-5756
  • Fax: 802-865-0042
Mailing address:
  • Phone: 800-323-3550
  • Fax: 972-387-8058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateTX

VIII. Authorized Official

Name: MR. TOM FOGARTY
Title or Position: EVP, CMO
Credential: MD
Phone: 800-232-3550