Provider Demographics
NPI:1164621322
Name:20 MILE URGENT CARE PLLC
Entity Type:Organization
Organization Name:20 MILE URGENT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:720-974-7210
Mailing Address - Street 1:11355 S PARKER RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7700
Mailing Address - Country:US
Mailing Address - Phone:720-974-7210
Mailing Address - Fax:720-851-1215
Practice Address - Street 1:11355 S PARKER RD
Practice Address - Street 2:SUITE 103
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7700
Practice Address - Country:US
Practice Address - Phone:720-974-7210
Practice Address - Fax:720-851-1215
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FOOTHILLS MEDICAL ASSOCIATES PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-17
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care