Provider Demographics
NPI:1164548582
Name:URGENT CARE CENTERS, INC.
Entity Type:Organization
Organization Name:URGENT CARE CENTERS, INC.
Other - Org Name:IMMEDIATE CARE - BOYKINS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:TIBITTS
Authorized Official - Suffix:
Authorized Official - Credentials:CRT,RVT
Authorized Official - Phone:478-278-2845
Mailing Address - Street 1:827 BEAVER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31027-2361
Mailing Address - Country:US
Mailing Address - Phone:478-278-2845
Mailing Address - Fax:478-275-9874
Practice Address - Street 1:18213 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:BOYKINS
Practice Address - State:VA
Practice Address - Zip Code:23827-2744
Practice Address - Country:US
Practice Address - Phone:757-654-0244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care