Provider Demographics
NPI:1689004095
Name:MEDCARE URGENT CARE CENTER - ANDERSON LLC
Entity Type:Organization
Organization Name:MEDCARE URGENT CARE CENTER - ANDERSON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PAWLIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-793-6093
Mailing Address - Street 1:1850 SAM RITTENBERG BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-4936
Mailing Address - Country:US
Mailing Address - Phone:843-793-6093
Mailing Address - Fax:
Practice Address - Street 1:801 N FANT ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-5707
Practice Address - Country:US
Practice Address - Phone:843-793-6093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-21
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care