Provider Demographics
NPI:1710579974
Name:SARATOGA URGENT CARE LLC
Entity Type:Organization
Organization Name:SARATOGA URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHERWOOD
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:571-585-2483
Mailing Address - Street 1:4241 BRITTANY CT
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-5189
Mailing Address - Country:US
Mailing Address - Phone:571-585-2483
Mailing Address - Fax:703-569-7008
Practice Address - Street 1:7839 ROLLING RD STE A
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22153-2821
Practice Address - Country:US
Practice Address - Phone:703-569-6998
Practice Address - Fax:703-569-7008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Multi-Specialty