Provider Demographics
NPI:1932586476
Name:RURAL URGENT CARE LLC
Entity Type:Organization
Organization Name:RURAL URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ESKILDSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MR
Authorized Official - Phone:205-337-0365
Mailing Address - Street 1:1500 1ST AVE N
Mailing Address - Street 2:UNIT #3
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-1865
Mailing Address - Country:US
Mailing Address - Phone:205-278-8560
Mailing Address - Fax:205-278-8560
Practice Address - Street 1:1925 W MAIN ST
Practice Address - Street 2:STE 120
Practice Address - City:CENTRE
Practice Address - State:AL
Practice Address - Zip Code:35960-2812
Practice Address - Country:US
Practice Address - Phone:256-677-4552
Practice Address - Fax:205-278-8560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-05
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X, 332B00000X
AL31670261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies