MEDICARE: NORA 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	:	1396190765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORA URGENT CARE LLC

Provider Business Mailing Address
First Line	:	675 E HICKORY LN
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-8512
Country	:	US
Telephone Number	:	317-883-7712
Fax Number	:	317-883-9228

Provider Business Practice Location Address
First Line	:	675 E HICKORY LN
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-8512
Country	:	US
Telephone Number	:	317-883-7712
Fax Number	:	317-883-9228

Authorized Official
Title or Position	:	OWNER
Name	:	ROLAND W JAMES
Credential	:	MD
Telephone Number	:	317-480-4044

Provider Enumeration Date	:	05/04/2016
Last Update Date	:	05/04/2016

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