Provider Demographics
NPI:1528008844
Name:HIGGSTON URGENT CARE & RURAL HEALTH
Entity Type:Organization
Organization Name:HIGGSTON URGENT CARE & RURAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:CALE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:912-538-7500
Mailing Address - Street 1:3101 US HIGHWAY 280
Mailing Address - Street 2:
Mailing Address - City:AILEY
Mailing Address - State:GA
Mailing Address - Zip Code:30410-3659
Mailing Address - Country:US
Mailing Address - Phone:912-538-7500
Mailing Address - Fax:912-538-9451
Practice Address - Street 1:3101 US HIGHWAY 280
Practice Address - Street 2:
Practice Address - City:AILEY
Practice Address - State:GA
Practice Address - Zip Code:30410-3659
Practice Address - Country:US
Practice Address - Phone:912-538-7500
Practice Address - Fax:912-538-9451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care