Provider Demographics
NPI:1922580133
Name:ST JOSEPHS CANDLER URGENT CARE CENTERS LLC
Entity Type:Organization
Organization Name:ST JOSEPHS CANDLER URGENT CARE CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP REV CYCLE SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-214-1031
Mailing Address - Street 1:PO BOX 415000
Mailing Address - Street 2:MSC 8071
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37241-8071
Mailing Address - Country:US
Mailing Address - Phone:912-819-6000
Mailing Address - Fax:912-819-6101
Practice Address - Street 1:361 COMMERCIAL DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3659
Practice Address - Country:US
Practice Address - Phone:912-355-6221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-04
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care