Provider Demographics
NPI:1013623255
Name:MWHC URGENT CARE LLC
Entity Type:Organization
Organization Name:MWHC URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BLALOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-741-2459
Mailing Address - Street 1:2300 FALL HILL AVE STE 515
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-3371
Mailing Address - Country:US
Mailing Address - Phone:540-741-1821
Mailing Address - Fax:
Practice Address - Street 1:4900 PLANK RD STE 101
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-6626
Practice Address - Country:US
Practice Address - Phone:540-741-0679
Practice Address - Fax:540-741-0681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care