Provider Demographics
NPI:1205341005
Name:RURAL URGENT CARE LLC
Entity type:Organization
Organization Name:RURAL URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ESKILDSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-337-0365
Mailing Address - Street 1:1420 N BRINDLEE MOUNTAIN PKWY
Mailing Address - Street 2:
Mailing Address - City:ARAB
Mailing Address - State:AL
Mailing Address - Zip Code:35016-5431
Mailing Address - Country:US
Mailing Address - Phone:256-677-4553
Mailing Address - Fax:
Practice Address - Street 1:1401 AL HWY 14
Practice Address - Street 2:
Practice Address - City:MILLBROOK
Practice Address - State:AL
Practice Address - Zip Code:36054
Practice Address - Country:US
Practice Address - Phone:334-310-6059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RURAL URGENT CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-04
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care