Provider Demographics
NPI:1841597234
Name:ROANOKE URGENT CARE ASSOCIATES PC
Entity Type:Organization
Organization Name:ROANOKE URGENT CARE ASSOCIATES PC
Other - Org Name:UCARE HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:540-589-1364
Mailing Address - Street 1:3960 VALLEY GATEWAY BLVD
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24012-6858
Mailing Address - Country:US
Mailing Address - Phone:540-977-0291
Mailing Address - Fax:540-977-0291
Practice Address - Street 1:3960 VALLEY GATEWAY BLVD
Practice Address - Street 2:SUITE A-1
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24012-6858
Practice Address - Country:US
Practice Address - Phone:540-977-0291
Practice Address - Fax:540-977-0291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-21
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty