Provider Demographics
NPI:1134683279
Name:FRANCISCAN CITY URGENT CARE SERVICES, PS
Entity Type:Organization
Organization Name:FRANCISCAN CITY URGENT CARE SERVICES, PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:MARLENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPMSM
Authorized Official - Phone:516-453-0435
Mailing Address - Street 1:1345 RXR PLZ FL 13
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11556-1301
Mailing Address - Country:US
Mailing Address - Phone:516-453-0435
Mailing Address - Fax:646-846-3283
Practice Address - Street 1:1344 WINTERGREEN LN NE STE 100
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-5118
Practice Address - Country:US
Practice Address - Phone:206-201-0488
Practice Address - Fax:206-201-0490
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANCISCAN CITY URGENT CARE SERVICES, PS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care