Provider Demographics
NPI:1235401126
Name:LOGAN URGENT CARE
Entity Type:Organization
Organization Name:LOGAN URGENT CARE
Other - Org Name:5 MINUTE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:435-753-2848
Mailing Address - Street 1:981 S MAIN ST
Mailing Address - Street 2:SUITE #180
Mailing Address - City:LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84321-6053
Mailing Address - Country:US
Mailing Address - Phone:435-753-2848
Mailing Address - Fax:435-753-0155
Practice Address - Street 1:981 S MAIN ST
Practice Address - Street 2:SUITE #180
Practice Address - City:LOGAN
Practice Address - State:UT
Practice Address - Zip Code:84321-6053
Practice Address - Country:US
Practice Address - Phone:435-753-2848
Practice Address - Fax:435-753-0155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care