Provider Demographics
NPI:1972004299
Name:VELOCITY URGENT CARE, LLC
Entity Type:Organization
Organization Name:VELOCITY URGENT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-772-6124
Mailing Address - Street 1:PO BOX 2436
Mailing Address - Street 2:
Mailing Address - City:LOVES PARK
Mailing Address - State:IL
Mailing Address - Zip Code:61132-0436
Mailing Address - Country:US
Mailing Address - Phone:815-713-2600
Mailing Address - Fax:779-771-6016
Practice Address - Street 1:3601 OLD HALIFAX RD
Practice Address - Street 2:
Practice Address - City:SOUTH BOSTON
Practice Address - State:VA
Practice Address - Zip Code:24592-4952
Practice Address - Country:US
Practice Address - Phone:434-290-1225
Practice Address - Fax:423-390-0770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-22
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center