Provider Demographics
NPI:1770867590
Name:URGENT CARE ACROSS AMERICA
Entity Type:Organization
Organization Name:URGENT CARE ACROSS AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BRICKHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:865-243-8855
Mailing Address - Street 1:13060 PALESTINE LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-0823
Mailing Address - Country:US
Mailing Address - Phone:865-243-8855
Mailing Address - Fax:865-243-8860
Practice Address - Street 1:13060 PALESTINE LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-0823
Practice Address - Country:US
Practice Address - Phone:865-243-8855
Practice Address - Fax:865-243-8860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-29
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
103G703423Medicare UPIN