Provider Demographics
NPI:1871657825
Name:IMMEDIATE CARE URGENT CARE-REISTERSTOWN, LLC
Entity Type:Organization
Organization Name:IMMEDIATE CARE URGENT CARE-REISTERSTOWN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:SENKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-833-5000
Mailing Address - Street 1:11722 REISTERSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-3302
Mailing Address - Country:US
Mailing Address - Phone:410-833-5000
Mailing Address - Fax:410-833-1433
Practice Address - Street 1:11722 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-3302
Practice Address - Country:US
Practice Address - Phone:410-833-5000
Practice Address - Fax:410-833-1433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care