Provider Demographics
NPI:1952709305
Name:ELITE URGENT CARE INC
Entity Type:Organization
Organization Name:ELITE URGENT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:AMRIK
Authorized Official - Middle Name:
Authorized Official - Last Name:BASI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:209-545-9555
Mailing Address - Street 1:1524 MCHENRY AVE
Mailing Address - Street 2:SUITE 340
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-4500
Mailing Address - Country:US
Mailing Address - Phone:209-545-9555
Mailing Address - Fax:209-545-9559
Practice Address - Street 1:220 STANDIFORD AVE
Practice Address - Street 2:SUITE F
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-1159
Practice Address - Country:US
Practice Address - Phone:209-579-5628
Practice Address - Fax:209-579-5637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-17
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty