Provider Demographics
NPI:1598223844
Name:URGENCARE, LLC
Entity Type:Organization
Organization Name:URGENCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT/CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEC
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:706-881-5550
Mailing Address - Street 1:2169 W POINT RD STE 300
Mailing Address - Street 2:
Mailing Address - City:LAGRANGE
Mailing Address - State:GA
Mailing Address - Zip Code:30240-4037
Mailing Address - Country:US
Mailing Address - Phone:706-668-5140
Mailing Address - Fax:706-668-5142
Practice Address - Street 1:2169 W POINT RD STE 300
Practice Address - Street 2:
Practice Address - City:LAGRANGE
Practice Address - State:GA
Practice Address - Zip Code:30240-4037
Practice Address - Country:US
Practice Address - Phone:706-668-5140
Practice Address - Fax:706-668-5142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care