Provider Demographics
NPI:1972692986
Name:AUBURN URGENT CARE, INC
Entity Type:Organization
Organization Name:AUBURN URGENT CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZENON
Authorized Official - Middle Name:
Authorized Official - Last Name:BEDNARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-821-3221
Mailing Address - Street 1:1650A SOUTH COLLEGE STREET
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36832
Mailing Address - Country:US
Mailing Address - Phone:334-821-3221
Mailing Address - Fax:334-821-1389
Practice Address - Street 1:1650A S COLLEGE ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36832-6637
Practice Address - Country:US
Practice Address - Phone:334-821-3221
Practice Address - Fax:334-821-1389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALJ013Medicare PIN
ALJ815Medicare PIN