Provider Demographics
NPI:1538470679
Name:CAPE REGIONAL URGENT CARE LLC
Entity Type:Organization
Organization Name:CAPE REGIONAL URGENT CARE LLC
Other - Org Name:CAPE REGIONAL URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:RUSKEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-465-6364
Mailing Address - Street 1:11 COURT HOUSE SOUTH DENNIS RD
Mailing Address - Street 2:UNIT #070
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-2150
Mailing Address - Country:US
Mailing Address - Phone:609-465-6364
Mailing Address - Fax:609-463-2471
Practice Address - Street 1:11 COURT HOUSE SOUTH DENNIS RD
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-2150
Practice Address - Country:US
Practice Address - Phone:609-465-6364
Practice Address - Fax:609-463-2471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care