Provider Demographics
NPI:1629348065
Name:URGENT CARE OF THE VALLEY INC.
Entity Type:Organization
Organization Name:URGENT CARE OF THE VALLEY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:800-378-9991
Mailing Address - Street 1:PO BOX 8129
Mailing Address - Street 2:
Mailing Address - City:KENTWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49518-8129
Mailing Address - Country:US
Mailing Address - Phone:800-378-9991
Mailing Address - Fax:616-949-8540
Practice Address - Street 1:29826 HAUN RD
Practice Address - Street 2:SUITE 106
Practice Address - City:SUN CITY
Practice Address - State:CA
Practice Address - Zip Code:92586-6546
Practice Address - Country:US
Practice Address - Phone:616-774-0335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care