Provider Demographics
NPI: | 1750637765 |
---|---|
Name: | AMERICAN CURRENT CARE PA |
Entity Type: | Organization |
Organization Name: | AMERICAN CURRENT CARE PA |
Other - Org Name: | CONCENTRA URGENT CARE |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | PRESIDENT & TREASURER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | ROBERT |
Authorized Official - Middle Name: | G |
Authorized Official - Last Name: | HASSETT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DO |
Authorized Official - Phone: | 972-364-8000 |
Mailing Address - Street 1: | 5080 SPECTRUM DR |
Mailing Address - Street 2: | SUITE 1200 WEST |
Mailing Address - City: | ADDISON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75001-4648 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 972-720-7772 |
Mailing Address - Fax: | 214-775-4502 |
Practice Address - Street 1: | 2424 SIR BARTON WAY |
Practice Address - Street 2: | SUITE 175 |
Practice Address - City: | LEXINGTON |
Practice Address - State: | KY |
Practice Address - Zip Code: | 40509-2521 |
Practice Address - Country: | US |
Practice Address - Phone: | 859-233-4882 |
Practice Address - Fax: | 859-233-4886 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-07-27 |
Last Update Date: | 2016-03-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |