MEDICARE: AMERICAN CURRENT CARE PA

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	:	1275716409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN CURRENT CARE PA

Provider Business Mailing Address
First Line	:	5080 SPECTRUM DRIVE
Second Line	:	SUITE 1200 WEST TOWER
City	:	ADDISON
State	:	TX
Zip	:	75001-4648
Country	:	US
Telephone Number	:	800-232-3550
Fax Number	:

Provider Business Practice Location Address
First Line	:	1840 YORK ROAD
Second Line	:	SUITE E
City	:	TIMONIUM
State	:	MD
Zip	:	21093-5121
Country	:	US
Telephone Number	:	410-252-4015
Fax Number	:	410-252-7410

Authorized Official
Title or Position	:	SENIOR VP / CHIEF MEDICAL OFFICER
Name	:	DR. TOM FOGARTY
Credential	:	MD
Telephone Number	:	972-364-8103

Provider Enumeration Date	:	12/11/2007
Last Update Date	:	08/02/2010

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Directions to “AMERICAN CURRENT CARE PA ” Practice Location

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