Provider Demographics
NPI:1821428103
Name:ORANGE COUNTY URGENT CARE #3, INC.
Entity Type:Organization
Organization Name:ORANGE COUNTY URGENT CARE #3, INC.
Other - Org Name:MEDPOST URGENT CARE - LA QUINTA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP OF OUTPATIENT SERVICES, TENET
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:BURTNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-893-2153
Mailing Address - Street 1:78965 HIGHWAY 111
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-2072
Mailing Address - Country:US
Mailing Address - Phone:760-777-7847
Mailing Address - Fax:760-777-1574
Practice Address - Street 1:78965 HIGHWAY 111
Practice Address - Street 2:
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-2072
Practice Address - Country:US
Practice Address - Phone:760-777-7847
Practice Address - Fax:760-777-1574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-22
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care