Provider Demographics
NPI:1497077978
Name:M-URGENT CARE LLC
Entity Type:Organization
Organization Name:M-URGENT CARE LLC
Other - Org Name:INDIANA UNIVERSITY HEALTH URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BRINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-216-2520
Mailing Address - Street 1:4850 CENTURY PLAZA RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-5476
Mailing Address - Country:US
Mailing Address - Phone:317-216-2828
Mailing Address - Fax:317-216-2839
Practice Address - Street 1:11580 OVERLOOK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-4212
Practice Address - Country:US
Practice Address - Phone:317-567-5252
Practice Address - Fax:317-567-5253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-24
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy