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
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1609320381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN CURRENT CARE PA

Provider Business Mailing Address
First Line	:	5080 SPECTRUM DR
Second Line	:	STE 1200W
City	:	ADDISON
State	:	TX
Zip	:	75001-4648
Country	:	US
Telephone Number	:	972-364-8083
Fax Number	:	214-775-4502

Provider Business Practice Location Address
First Line	:	2804 SOUTHAMPTON RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19154-1207
Country	:	US
Telephone Number	:	215-677-0930
Fax Number	:	214-775-4502

Authorized Official
Title or Position	:	PRESIDENT & TREASURER
Name	:	ROBERT HASSETT
Credential	:	DO
Telephone Number	:	972-364-8000

Provider Enumeration Date	:	08/10/2016
Last Update Date	:	08/10/2016

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