MEDICARE: ADVANCED 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	:	1407598477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED URGENT CARE LLC

Provider Business Mailing Address
First Line	:	2801 PURCELL ST
Second Line	:
City	:	BRIGHTON
State	:	CO
Zip	:	80601-3551
Country	:	US
Telephone Number	:	303-659-9700
Fax Number	:	720-336-3989

Provider Business Practice Location Address
First Line	:	3890 QUEBEC ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80207-1607
Country	:	US
Telephone Number	:	303-659-9700
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	ELLEN EUSER
Credential	:
Telephone Number	:	303-659-7600

Provider Enumeration Date	:	04/11/2022
Last Update Date	:	04/11/2022

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