Provider Demographics
NPI:1518352434
Name:NORA URGENT CARE LLC
Entity Type:Organization
Organization Name:NORA URGENT CARE LLC
Other - Org Name:NORA URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:W
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-480-4044
Mailing Address - Street 1:650 N GIRLS SCHOOL RD
Mailing Address - Street 2:SUITE F-40
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46214-3672
Mailing Address - Country:US
Mailing Address - Phone:317-299-4033
Mailing Address - Fax:
Practice Address - Street 1:650 N GIRLS SCHOOL RD
Practice Address - Street 2:SUITE F-40
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46214-3672
Practice Address - Country:US
Practice Address - Phone:317-299-4033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
ININ1756Medicare PIN