MEDICARE: RURAL URGENT CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1053157610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RURAL URGENT CARE LLC

Provider Business Mailing Address
First Line	:	1500 1ST AVE N UNIT 3
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35203-1866
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6999 ABERCORN ST
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31405-5837
Country	:	US
Telephone Number	:	912-228-3523
Fax Number	:	912-304-4737

Authorized Official
Title or Position	:	VP
Name	:	KRISTA ROCK
Credential	:
Telephone Number	:	205-545-5090

Provider Enumeration Date	:	07/03/2024
Last Update Date	:	03/19/2026

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