Provider Demographics
NPI:1669584009
Name:EXPRESS CARE PLUS
Entity type:Organization
Organization Name:EXPRESS CARE PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.O./ PHYSICIAN ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VERNON
Authorized Official - Middle Name:M
Authorized Official - Last Name:RUBICK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:719-597-4200
Mailing Address - Street 1:2141 N ACADEMY CIR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909
Mailing Address - Country:US
Mailing Address - Phone:719-597-4200
Mailing Address - Fax:719-597-4495
Practice Address - Street 1:2141 N ACADEMY CIR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909
Practice Address - Country:US
Practice Address - Phone:719-597-4200
Practice Address - Fax:719-597-4495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Not Answered261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care