Provider Demographics
NPI:1568245397
Name:ADVOCATE URGENT CARE PLLC
Entity Type:Organization
Organization Name:ADVOCATE URGENT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEGRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:218-839-9000
Mailing Address - Street 1:12643 FREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:ZIMMERMAN
Mailing Address - State:MN
Mailing Address - Zip Code:55398-9755
Mailing Address - Country:US
Mailing Address - Phone:952-931-1276
Mailing Address - Fax:
Practice Address - Street 1:12643 FREMONT AVE
Practice Address - Street 2:
Practice Address - City:ZIMMERMAN
Practice Address - State:MN
Practice Address - Zip Code:55398-9755
Practice Address - Country:US
Practice Address - Phone:952-931-1276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-15
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Single Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty