Provider Demographics
NPI:1790189355
Name:HEALTH FIRST URGENT CARE CLINIC
Entity Type:Organization
Organization Name:HEALTH FIRST URGENT CARE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARYL
Authorized Official - Middle Name:W
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-235-4770
Mailing Address - Street 1:6250 HIGHWAY 64
Mailing Address - Street 2:SUITE 4
Mailing Address - City:OAKLAND
Mailing Address - State:TN
Mailing Address - Zip Code:38060-5181
Mailing Address - Country:US
Mailing Address - Phone:901-235-4770
Mailing Address - Fax:901-235-4771
Practice Address - Street 1:6250 HIGHWAY 64
Practice Address - Street 2:SUITE 4
Practice Address - City:OAKLAND
Practice Address - State:TN
Practice Address - Zip Code:38060-5181
Practice Address - Country:US
Practice Address - Phone:901-235-4770
Practice Address - Fax:901-235-4771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-10
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17269261QE0002X
TN261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care