Provider Demographics
NPI:1801576335
Name:CEDAR CITY URGENT CARE
Entity type:Organization
Organization Name:CEDAR CITY URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:SWANK
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:435-559-0844
Mailing Address - Street 1:2155 N BANDTAIL CIR
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-8713
Mailing Address - Country:US
Mailing Address - Phone:435-559-0844
Mailing Address - Fax:
Practice Address - Street 1:2155 N BANDTAIL CIR
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-8713
Practice Address - Country:US
Practice Address - Phone:435-559-0844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care