Provider Demographics
NPI:1073816245
Name:US MED URGENT CARE
Entity Type:Organization
Organization Name:US MED URGENT CARE
Other - Org Name:PEARL CITY URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-429-8204
Mailing Address - Street 1:94-229 WAIPAHU DEPOT ST
Mailing Address - Street 2:SUITE 404
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3031
Mailing Address - Country:US
Mailing Address - Phone:808-676-1192
Mailing Address - Fax:808-676-1193
Practice Address - Street 1:1245 KUALA ST
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-3900
Practice Address - Country:US
Practice Address - Phone:808-676-1192
Practice Address - Fax:808-676-1193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-09
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care