Provider Demographics
NPI:1942360961
Name:HIGHLANDS URGENT CARE CENTER PLLC
Entity Type:Organization
Organization Name:HIGHLANDS URGENT CARE CENTER PLLC
Other - Org Name:PATIENT FIRST IMMEDIATE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:EVERSOLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-459-3991
Mailing Address - Street 1:2450 BARNSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205
Mailing Address - Country:US
Mailing Address - Phone:502-459-3991
Mailing Address - Fax:502-459-3972
Practice Address - Street 1:2450 BARNSTOWN RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205
Practice Address - Country:US
Practice Address - Phone:502-459-3991
Practice Address - Fax:502-459-3972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY32450207Q00000X
KY26466207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty