Provider Demographics
NPI:1831666890
Name:OUR URGENT CARE, LLC
Entity Type:Organization
Organization Name:OUR URGENT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-887-3020
Mailing Address - Street 1:2893 VETERANS MEMORIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-3526
Mailing Address - Country:US
Mailing Address - Phone:636-887-3020
Mailing Address - Fax:
Practice Address - Street 1:3433 N HIGHWAY 67
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-1647
Practice Address - Country:US
Practice Address - Phone:314-690-5078
Practice Address - Fax:314-755-1824
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OUR URGENT CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-29
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care