Provider Demographics
NPI:1750863411
Name:MINUTE MAN URGENT CARE AND MEDICAL SERVICES
Entity Type:Organization
Organization Name:MINUTE MAN URGENT CARE AND MEDICAL SERVICES
Other - Org Name:MINUTEMAN URGENT CARE & MEDICAL SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-782-3789
Mailing Address - Street 1:13180 AA HWY N
Mailing Address - Street 2:
Mailing Address - City:FOSTER
Mailing Address - State:KY
Mailing Address - Zip Code:41043-7503
Mailing Address - Country:US
Mailing Address - Phone:859-444-7993
Mailing Address - Fax:
Practice Address - Street 1:13180 AA HWY N
Practice Address - Street 2:
Practice Address - City:FOSTER
Practice Address - State:KY
Practice Address - Zip Code:41043-7503
Practice Address - Country:US
Practice Address - Phone:859-444-7993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-29
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY31109207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty