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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
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1972786119
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 TOWER
City : ADDISON
State : TX
Zip : 75001-4624
Country : US
Telephone Number : 800-232-3550
Fax Number :
Provider Business Practice Location Address
First Line : 1308 N. GLENSTONE AVENUE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65802-2130
Country : US
Telephone Number : 417-864-4100
Fax Number : 417-863-0384
Authorized Official
Title or Position : PRESIDENT
Name : DR. WILLIAM TOM FOGARTY
Credential : MD
Telephone Number : 972-364-8103
Provider Enumeration Date : 12/11/2007
Last Update Date : 01/25/2011

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Directions to “AMERICAN CURRENT CARE PA ” Practice Location

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