Provider Demographics
NPI:1134848260
Name:CAPE REGIONAL URGENT CARE LLC
Entity type:Organization
Organization Name:CAPE REGIONAL URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:RUSKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-728-8700
Mailing Address - Street 1:406 W RIO GRANDE AVE
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08260-1524
Mailing Address - Country:US
Mailing Address - Phone:609-465-6364
Mailing Address - Fax:609-465-1693
Practice Address - Street 1:406 W RIO GRANDE AVE
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08260-1524
Practice Address - Country:US
Practice Address - Phone:609-465-6364
Practice Address - Fax:609-465-1693
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPE REGIONAL URGENT CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care