Provider Demographics
NPI:1093466831
Name:URGENT CARE ON WHEELS LLC
Entity Type:Organization
Organization Name:URGENT CARE ON WHEELS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTTLES
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:205-834-4954
Mailing Address - Street 1:130 STONEHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-3908
Mailing Address - Country:US
Mailing Address - Phone:205-835-2288
Mailing Address - Fax:
Practice Address - Street 1:130 STONEHAVEN DR
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-3908
Practice Address - Country:US
Practice Address - Phone:205-834-4954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-13
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care