Provider Demographics
NPI:1497995138
Name:COMMUNITY URGENT CARE
Entity Type:Organization
Organization Name:COMMUNITY URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMIR
Authorized Official - Middle Name:HAMO
Authorized Official - Last Name:MAYEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-393-3124
Mailing Address - Street 1:1035 WALL STREET
Mailing Address - Street 2:SUITE 104
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130
Mailing Address - Country:US
Mailing Address - Phone:859-393-3124
Mailing Address - Fax:
Practice Address - Street 1:1035 WALL ST
Practice Address - Street 2:SUITE 104
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3612
Practice Address - Country:US
Practice Address - Phone:859-393-3124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care