PROVIDENCE IMMEDIATE CARE INCORPORATED NPI 1871816884

NPI Information

NPI: 1871816884
Provider Name: PROVIDENCE IMMEDIATE CARE INCORPORATED
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
1002 OVERLOOK DR
VILLA RICA, GA
ZIP 30180
Phone: (678) 907-2086
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PROVIDENCE IMMEDIATE CARE INCORPORATED is an urgent care clinic center in Villa Rica, GA. PROVIDENCE IMMEDIATE CARE INCORPORATED NPI is 1871816884. The provider is registered as an organization entity type.

The provider's business location address is:

1002 OVERLOOK DR
VILLA RICA, GA
ZIP 30180-804
Phone: (678) 907-2086
Fax: (678) 840-8742

The provider's authorized official is Ewane Ngone .
The authorized official title is President/ceo and has the following contact phone number (678) 907-2086.

The enumeration date for this NPI number is 3/4/2010 and was last updated on 3/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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