MEDICARE: TOWER HEALTH 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	261QE0002X	Emergency Care Clinic/Center
2	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1649747460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWER HEALTH URGENT CARE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 13579
Second Line	:
City	:	READING
State	:	PA
Zip	:	19612-3579
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8919 NEW FALLS RD
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19054-1713
Country	:	US
Telephone Number	:	267-580-4200
Fax Number	:	267-580-4201

Authorized Official
Title or Position	:	SENIOR VP & CFO
Name	:	MR. GARY CONNOR
Credential	:
Telephone Number	:	484-628-8181

Provider Enumeration Date	:	10/30/2018
Last Update Date	:	10/30/2018

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