Provider Demographics
NPI:1376012336
Name:VERNAL URGENT CARE LLC
Entity Type:Organization
Organization Name:VERNAL URGENT CARE LLC
Other - Org Name:VERNAL URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAUN
Authorized Official - Middle Name:C
Authorized Official - Last Name:SHURTLIFF
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:435-781-8899
Mailing Address - Street 1:872 W HIGHWAY 40
Mailing Address - Street 2:
Mailing Address - City:VERNAL
Mailing Address - State:UT
Mailing Address - Zip Code:84078-2416
Mailing Address - Country:US
Mailing Address - Phone:435-789-6677
Mailing Address - Fax:435-789-6678
Practice Address - Street 1:872 W HIGHWAY 40
Practice Address - Street 2:
Practice Address - City:VERNAL
Practice Address - State:UT
Practice Address - Zip Code:84078-2416
Practice Address - Country:US
Practice Address - Phone:435-789-6677
Practice Address - Fax:435-789-6677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-20
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care