Provider Demographics
NPI:1013184894
Name:URGENT MEDICAL CARE@HACKENSACK
Entity Type:Organization
Organization Name:URGENT MEDICAL CARE@HACKENSACK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:CLIFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-996-0055
Mailing Address - Street 1:493 ESSEX ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1215
Mailing Address - Country:US
Mailing Address - Phone:201-621-0911
Mailing Address - Fax:201-621-0896
Practice Address - Street 1:493 ESSEX ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1215
Practice Address - Country:US
Practice Address - Phone:201-621-0911
Practice Address - Fax:201-621-0896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care