Provider Demographics
NPI:1003365123
Name:RURAL URGENT CARE LLC
Entity Type:Organization
Organization Name:RURAL URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ESKILDSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-337-0365
Mailing Address - Street 1:1420 N BRINDLEE MOUNTAIN PKWY
Mailing Address - Street 2:
Mailing Address - City:ARAB
Mailing Address - State:AL
Mailing Address - Zip Code:35016-5431
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3306 20TH AVE
Practice Address - Street 2:
Practice Address - City:VALLEY
Practice Address - State:AL
Practice Address - Zip Code:36854-3201
Practice Address - Country:US
Practice Address - Phone:205-545-5090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RURAL URGENT CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-30
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care