Provider Demographics
NPI:1477024115
Name:DELTA COUNTY URGENT CARE, INC.
Entity Type:Organization
Organization Name:DELTA COUNTY URGENT CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PURVIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-874-5061
Mailing Address - Street 1:1722 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:CO
Mailing Address - Zip Code:81416-2810
Mailing Address - Country:US
Mailing Address - Phone:970-874-5061
Mailing Address - Fax:970-874-5074
Practice Address - Street 1:1722 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416-2810
Practice Address - Country:US
Practice Address - Phone:970-874-5061
Practice Address - Fax:970-874-5074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care