NPI Code Details Logo

NPI 1114586542

NPI 1114586542 : A-Z URGENT CARE LLC : ELVERSON, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1114586542
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    A-Z URGENT CARE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/10/2019
-----------------------------------------------------
    Last Update Date     |    12/03/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    45 S PINE ST 
-----------------------------------------------------
    City                 |    ELVERSON
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    19520-9720
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    610-901-3900
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    45 S PINE ST 
-----------------------------------------------------
    City                 |    ELVERSON
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    19520-9720
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    610-901-3900
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MEDICAL DIRECTOR
-----------------------------------------------------
    Name                 |     GARY A HERRING 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    928-853-7876
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    261QU0200X
-----------------------------------------------------
    Taxonomy Name        |    Urgent Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    261Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.