Provider Demographics
NPI:1831473289
Name:NORTHAMPTON URGENT CARE LLC
Entity Type:Organization
Organization Name:NORTHAMPTON URGENT CARE LLC
Other - Org Name:PRIORITY CARE - BETHLEHEM
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HANCHURUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-495-2537
Mailing Address - Street 1:6501 CITY WEST PKWY
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-3248
Mailing Address - Country:US
Mailing Address - Phone:952-653-2525
Mailing Address - Fax:
Practice Address - Street 1:2151 EMRICK BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8039
Practice Address - Country:US
Practice Address - Phone:952-653-2568
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHAMPTON URGENT CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site