Provider Demographics
NPI:1972757474
Name:VIRGINIA URGENT CARE LLC
Entity Type:Organization
Organization Name:VIRGINIA URGENT CARE LLC
Other - Org Name:NEXTCARE URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:
Authorized Official - Last Name:STOIMENOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-924-8382
Mailing Address - Street 1:PO BOX 41007
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28309-1007
Mailing Address - Country:US
Mailing Address - Phone:800-849-5609
Mailing Address - Fax:910-483-3959
Practice Address - Street 1:330 WHITE OAK ROAD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-0000
Practice Address - Country:US
Practice Address - Phone:540-373-2424
Practice Address - Fax:540-373-3258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care