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NPI Code Detail

MEDICARE: AMERICAN CURRENT CARE PA

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
1261Q00000XClinic/Center
2261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1417254749
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
City : ADDISON
State : TX
Zip : 75001-4624
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3108 NE 181ST AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97230-6926
Country : US
Telephone Number : 503-253-5695
Fax Number : 503-253-5944
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT G. HASSETT
Credential : DO MPH
Telephone Number : 972-364-8000
Provider Enumeration Date : 02/23/2011
Last Update Date : 05/04/2015

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Directions to “AMERICAN CURRENT CARE PA ” Practice Location

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