Provider Demographics
NPI:1114491594
Name:ON DEMAND URGENT CARE GROUP PC
Entity Type:Organization
Organization Name:ON DEMAND URGENT CARE GROUP PC
Other - Org Name:ON DEMAND URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:HOTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-753-3970
Mailing Address - Street 1:6060 RIDGE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-1659
Mailing Address - Country:US
Mailing Address - Phone:215-999-6060
Mailing Address - Fax:267-437-2937
Practice Address - Street 1:1500 SPRING GARDEN ST STE R105
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-4067
Practice Address - Country:US
Practice Address - Phone:267-768-8288
Practice Address - Fax:866-244-6942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-18
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care