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NPI Code Detail

MEDICARE: UNIVERSITY URGENT CARE

MEDICARE: UNIVERSITY URGENT CARE
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
1261QU0200XUrgent Care Clinic/CenterHI

General Provider Information

NPI Number : 1538534995
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY URGENT CARE
Provider Business Mailing Address
First Line : 1321 OPUA ST
Second Line :
City : HONOLULU
State : HI
Zip : 96818-1932
Country : US
Telephone Number : 808-724-0602
Fax Number :
Provider Business Practice Location Address
First Line : 1321 OPUA ST
Second Line :
City : HONOLULU
State : HI
Zip : 96818-1932
Country : US
Telephone Number : 808-724-0602
Fax Number :
Authorized Official
Title or Position : OWNER
Name : FIDES DELGADO
Credential :
Telephone Number : 808-724-0602
Provider Enumeration Date : 12/09/2015
Last Update Date : 12/09/2015

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Directions to “UNIVERSITY URGENT CARE ” Practice Location

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