Provider Demographics
NPI:1558877142
Name:VELOCITY URGENT CARE, LLC
Entity Type:Organization
Organization Name:VELOCITY URGENT CARE, LLC
Other - Org Name:VELOCITY URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:779-888-0734
Mailing Address - Street 1:4374 NEW TOWN AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-2865
Mailing Address - Country:US
Mailing Address - Phone:757-772-6124
Mailing Address - Fax:757-267-9195
Practice Address - Street 1:3745 HOLLAND RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-2847
Practice Address - Country:US
Practice Address - Phone:757-772-6118
Practice Address - Fax:757-267-9086
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VELOCITY URGENT CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-19
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center