Provider Demographics
NPI:1477900124
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:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ESKILDSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-337-0365
Mailing Address - Street 1:1475 AL HWY 14 EAST
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:AL
Mailing Address - Zip Code:36701
Mailing Address - Country:US
Mailing Address - Phone:334-526-3540
Mailing Address - Fax:334-526-3241
Practice Address - Street 1:1475 AL HWY 14 EAST
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:AL
Practice Address - Zip Code:36703
Practice Address - Country:US
Practice Address - Phone:334-526-3240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RURAL URGENT CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-23
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care