Provider Demographics
NPI:1578879235
Name:OXFORD AFTER HOURS CLINIC, LLC
Entity Type:Organization
Organization Name:OXFORD AFTER HOURS CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRENNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:UTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-706-3033
Mailing Address - Street 1:4520 JAMESTOWN AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-3214
Mailing Address - Country:US
Mailing Address - Phone:225-706-3033
Mailing Address - Fax:225-218-4888
Practice Address - Street 1:1929 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-4113
Practice Address - Country:US
Practice Address - Phone:662-236-2232
Practice Address - Fax:662-236-2264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-19
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty