Provider Demographics
NPI:1508186800
Name:COLORADOS URGENTCARE LLC
Entity Type:Organization
Organization Name:COLORADOS URGENTCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:WUERKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-384-2240
Mailing Address - Street 1:120 MIDLAND AVE
Mailing Address - Street 2:#230
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601
Mailing Address - Country:US
Mailing Address - Phone:970-384-2240
Mailing Address - Fax:970-384-2243
Practice Address - Street 1:120 MIDLAND AVE
Practice Address - Street 2:#230
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601
Practice Address - Country:US
Practice Address - Phone:970-384-2240
Practice Address - Fax:970-384-2243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-09
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37406261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care