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1174087563 NPI number — OUR URGENT CARE, LLC

NPI Number: 1174087563
Health Care Provider/Practitioner: OUR URGENT CARE, LLC

Information about “1174087563” NPI (OUR URGENT CARE, LLC) exists in 1174087563 in HTML format HTML  |  1174087563 in plain Text format TXT  |  1174087563 in PDF (Portable Document Format) PDF  |  1174087563 in an XML format XML  formats.

NPI Number : 1174087563 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174087563",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "OUR URGENT CARE, LLC",
    "ParentOrgTIN": null,
    "OrgName": "OUR URGENT CARE, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1615 JUNGERMANN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT PETERS",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63304-2821",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "636-875-7350",
    "MailingAddressFaxNumber": "636-875-7477",
    "FirstLinePracticeLocationAddress": "1615 JUNGERMANN RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT PETERS",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63304-2821",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "636-452-5818",
    "PracticeLocationAddressFaxNumber": "636-875-7477",
    "EnumerationDate": "01/30/2019",
    "LastUpdateDate": "12/02/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SEIBEL",
    "AuthorizedOfficialFirstName": "JOSEPH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "636-887-3020",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QU0200X",
        "TaxonomyName": "Urgent Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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