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NPI Code Detail

MEDICARE: OUR URGENT CARE, LLC

MEDICARE: OUR 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
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1174087563
Entity Type Code : Organization
Provider Name (Legal Business Name) : OUR URGENT CARE, LLC
Provider Business Mailing Address
First Line : 1615 JUNGERMANN RD
Second Line :
City : SAINT PETERS
State : MO
Zip : 63304-2821
Country : US
Telephone Number : 636-875-7350
Fax Number : 636-875-7477
Provider Business Practice Location Address
First Line : 1615 JUNGERMANN RD
Second Line :
City : SAINT PETERS
State : MO
Zip : 63304-2821
Country : US
Telephone Number : 636-452-5818
Fax Number : 636-875-7477
Authorized Official
Title or Position : PRESIDENT
Name : JOSEPH SEIBEL
Credential :
Telephone Number : 636-887-3020
Provider Enumeration Date : 01/30/2019
Last Update Date : 12/02/2019

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Directions to “OUR URGENT CARE, LLC ” Practice Location

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