Provider Demographics
NPI:1669176095
Name:ACOSTA URGENT CARES
Entity type:Organization
Organization Name:ACOSTA URGENT CARES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-300-2710
Mailing Address - Street 1:3065 E UNIVERSITY AVE STE B
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-9106
Mailing Address - Country:US
Mailing Address - Phone:575-300-2710
Mailing Address - Fax:575-800-7407
Practice Address - Street 1:3065 E UNIVERSITY AVE STE B
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-9106
Practice Address - Country:US
Practice Address - Phone:575-300-2710
Practice Address - Fax:575-800-7407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care