Provider Demographics
NPI:1477087658
Name:URGENT CARE ENTERPRISE LLC
Entity Type:Organization
Organization Name:URGENT CARE ENTERPRISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODWARD-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-906-8116
Mailing Address - Street 1:1 MARYLAND FARMS
Mailing Address - Street 2:102
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5006
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5304 CANE RIDGE RD
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-3839
Practice Address - Country:US
Practice Address - Phone:615-372-3359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GALEN HOLDCO, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care