Provider Demographics
NPI:1093219271
Name:URGENT CARE OF BERWICK LLC
Entity Type:Organization
Organization Name:URGENT CARE OF BERWICK LLC
Other - Org Name:URGENT CARE OF SANDFLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PA
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:M
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-201-1140
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:31405-9521
Mailing Address - Country:US
Mailing Address - Phone:912-201-1140
Mailing Address - Fax:912-777-6449
Practice Address - Street 1:7360 SKIDAWAY RD STE L2
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4285
Practice Address - Country:US
Practice Address - Phone:912-201-1140
Practice Address - Fax:912-777-6449
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:URGENT CARE OF BERWICK LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-21
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care