Provider Demographics
NPI:1164908745
Name:WELLNOW URGENT CARE, PC
Entity Type:Organization
Organization Name:WELLNOW URGENT CARE, PC
Other - Org Name:WELLNOW URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR RECENUE CYCLE MANAGEMENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:RADFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-699-9032
Mailing Address - Street 1:PO BOX 500
Mailing Address - Street 2:
Mailing Address - City:ELLICOTTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14731-0500
Mailing Address - Country:US
Mailing Address - Phone:716-699-9032
Mailing Address - Fax:716-699-9035
Practice Address - Street 1:8003 BREWERTON RD
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:NY
Practice Address - Zip Code:13039-9528
Practice Address - Country:US
Practice Address - Phone:315-288-4006
Practice Address - Fax:315-288-4750
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NY URGENT CARE PRACTICE PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-17
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care