MEDICARE: ALLIANCE URGENT CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207RI0011X	Interventional Cardiology Physician
3	208000000X	Pediatrics Physician
4	261QU0200X	Urgent Care Clinic/Center
5	363A00000X	Physician Assistant
6	363L00000X	Nurse Practitioner
7	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1982819025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE URGENT CARE

Provider Business Mailing Address
First Line	:	9320 GRAND CORDERA PKWY
Second Line	:	SUITE 100
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80924-7003
Country	:	US
Telephone Number	:	719-282-6337
Fax Number	:	719-282-0532

Provider Business Practice Location Address
First Line	:	9320 GRAND CORDERA PKWY
Second Line	:	SUITE 100
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80924-7003
Country	:	US
Telephone Number	:	719-282-6337
Fax Number	:	719-282-0532

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. MARK PHILP CARROLL II
Credential	:	M.D.
Telephone Number	:	719-282-6337

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	08/14/2023

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Directions to “ALLIANCE URGENT CARE ” Practice Location

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