Provider Demographics
NPI:1952936635
Name:PROHEALTH URGENT CARE LLC
Entity Type:Organization
Organization Name:PROHEALTH URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:305-281-0684
Mailing Address - Street 1:6002 DIAMOND RUBY STE 3-125
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-5226
Mailing Address - Country:US
Mailing Address - Phone:305-281-0684
Mailing Address - Fax:
Practice Address - Street 1:6040 CASTLE COAKLEY
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-5343
Practice Address - Country:US
Practice Address - Phone:305-281-0684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-03
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care