Healthcare Provider Details

I. General information

NPI: 1053775288
Provider Name (Legal Business Name): FRANCISCAN CITY URGENT CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2016
Last Update Date: 09/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6322 ROOSEVELT WAY NE
SEATTLE WA
98115-6625
US

IV. Provider business mailing address

1345 RXR PLZ
UNIONDALE NY
11556-1301
US

V. Phone/Fax

Practice location:
  • Phone: 206-201-0544
  • Fax: 206-201-0546
Mailing address:
  • Phone: 516-783-4600
  • 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: MISS SANDRA VICIOSO
Title or Position: CREDENTIALING MANGER
Credential:
Phone: 516-783-4600