Provider Demographics
NPI:1942883665
Name:A.M.T. URGENT CARE PLLC
Entity Type:Organization
Organization Name:A.M.T. URGENT CARE PLLC
Other - Org Name:A.M.T. TOTAL HEALTHCARE PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LARRY
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:901-303-5040
Mailing Address - Street 1:260D SHOPPINGWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301
Mailing Address - Country:US
Mailing Address - Phone:901-303-5040
Mailing Address - Fax:
Practice Address - Street 1:260D SHOPPINGWAY BLVD
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-7230
Practice Address - Country:US
Practice Address - Phone:901-303-5040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A.M.T. URGENT CARE PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-30
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
Provider Identifiers
StateIdentifier IDID TypeIssuer
1134450307OtherNEPPES