Provider Demographics
NPI:1023254497
Name:PORT CITY URGENT CARE PC
Entity type:Organization
Organization Name:PORT CITY URGENT CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:OCHS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-798-2212
Mailing Address - Street 1:706 S COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-6411
Mailing Address - Country:US
Mailing Address - Phone:910-798-2212
Mailing Address - Fax:910-798-2242
Practice Address - Street 1:706 S COLLEGE RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6411
Practice Address - Country:US
Practice Address - Phone:910-798-2212
Practice Address - Fax:910-798-2242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty