Provider Demographics
NPI:1083018485
Name:URGENT CARE OF BERWICK LLC
Entity Type:Organization
Organization Name:URGENT CARE OF BERWICK LLC
Other - Org Name:URGENT CARE OF BERWICK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:828-275-1860
Mailing Address - Street 1:5730 OGEECHEE RD STE 192
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-9581
Mailing Address - Country:US
Mailing Address - Phone:912-201-1140
Mailing Address - Fax:
Practice Address - Street 1:5730 OGEECHEE RD STE 192
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-9521
Practice Address - Country:US
Practice Address - Phone:912-201-1140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-14
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA061648261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty