Provider Demographics
NPI:1275919185
Name:CENTRAL ALABAMA URGENT CARE INC
Entity Type:Organization
Organization Name:CENTRAL ALABAMA URGENT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADERHOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-388-1328
Mailing Address - Street 1:27 MIDWAY PLZ
Mailing Address - Street 2:SUITE B
Mailing Address - City:DORA
Mailing Address - State:AL
Mailing Address - Zip Code:35062-9340
Mailing Address - Country:US
Mailing Address - Phone:417-861-9739
Mailing Address - Fax:417-429-2893
Practice Address - Street 1:27 MIDWAY PLZ
Practice Address - Street 2:SUITE B
Practice Address - City:DORA
Practice Address - State:AL
Practice Address - Zip Code:35062-9340
Practice Address - Country:US
Practice Address - Phone:417-861-9739
Practice Address - Fax:417-429-2893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care