Provider Demographics
NPI:1265962708
Name:OUCH URGENT CARE OF HAMILTON LLC
Entity type:Organization
Organization Name:OUCH URGENT CARE OF HAMILTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF REVENUE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-205-5999
Mailing Address - Street 1:1195 MILITARY ST S
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:AL
Mailing Address - Zip Code:35570-5048
Mailing Address - Country:US
Mailing Address - Phone:205-921-2273
Mailing Address - Fax:601-420-5299
Practice Address - Street 1:1195 MILITARY ST S
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:AL
Practice Address - Zip Code:35570-5048
Practice Address - Country:US
Practice Address - Phone:205-921-2273
Practice Address - Fax:601-420-5299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-18
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty