Provider Demographics
NPI:1679718985
Name:NATIONAL URGENT CARE CLINICS, LLC
Entity Type:Organization
Organization Name:NATIONAL URGENT CARE CLINICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:STIPELCOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-363-2150
Mailing Address - Street 1:P.O. BOX 2064
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769
Mailing Address - Country:US
Mailing Address - Phone:225-363-2172
Mailing Address - Fax:225-363-2278
Practice Address - Street 1:1802 NORTH JACKSON
Practice Address - Street 2:
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388
Practice Address - Country:US
Practice Address - Phone:931-455-4520
Practice Address - Fax:931-455-4633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-16
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care