Provider Demographics
NPI:1346094711
Name:COMMUNITY URGENT CARE LLC
Entity Type:Organization
Organization Name:COMMUNITY URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAGHUVEER
Authorized Official - Middle Name:
Authorized Official - Last Name:KURA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:573-718-1339
Mailing Address - Street 1:2651 SHELBY RD
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-2387
Mailing Address - Country:US
Mailing Address - Phone:573-843-8380
Mailing Address - Fax:573-843-8381
Practice Address - Street 1:2651 SHELBY RD
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-2387
Practice Address - Country:US
Practice Address - Phone:573-843-8380
Practice Address - Fax:573-843-8381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care