MEDICARE: AMERICAN CURRENT CARE PA PC

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	:	1487843314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN CURRENT CARE PA PC

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	:	420 EAST 58TH AVENUE
Second Line	:	SUITE 111 NORTH
City	:	DENVER
State	:	CO
Zip	:	80216-1430
Country	:	US
Telephone Number	:	303-292-2273
Fax Number	:	303-296-4138

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

Provider Enumeration Date	:	10/16/2007
Last Update Date	:	07/14/2010

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