Provider Demographics
NPI:1508167099
Name:WINCHESTER MEDICAL URGENT CARE
Entity Type:Organization
Organization Name:WINCHESTER MEDICAL URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-967-1514
Mailing Address - Street 1:2204 COWAN HWY
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37398-2627
Mailing Address - Country:US
Mailing Address - Phone:931-967-1514
Mailing Address - Fax:931-962-4081
Practice Address - Street 1:2204 COWAN HWY
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-2627
Practice Address - Country:US
Practice Address - Phone:931-967-1514
Practice Address - Fax:931-962-4081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-15
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care