Provider Demographics
NPI:1710504121
Name:URGENT CARE XPRESS
Entity Type:Organization
Organization Name:URGENT CARE XPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-585-6002
Mailing Address - Street 1:29 WASHINGTON AVE APT 207
Mailing Address - Street 2:
Mailing Address - City:CARTERET
Mailing Address - State:NJ
Mailing Address - Zip Code:07008-2696
Mailing Address - Country:US
Mailing Address - Phone:732-585-6002
Mailing Address - Fax:
Practice Address - Street 1:29 WASHINGTON AVE APT 207
Practice Address - Street 2:
Practice Address - City:CARTERET
Practice Address - State:NJ
Practice Address - Zip Code:07008-2696
Practice Address - Country:US
Practice Address - Phone:732-585-6002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health