URGENT CARE BANKS CROSSING LLC NPI 1043448848

NPI Information

NPI: 1043448848
Provider Name: URGENT CARE BANKS CROSSING LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
415 B POTTERY FACTORY DR
COMMERCE, GA
ZIP 30529
Phone: (706) 336-0074
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URGENT CARE BANKS CROSSING LLC is a primary care clinic center in Commerce, GA. URGENT CARE BANKS CROSSING LLC NPI is 1043448848. The provider is registered as an organization entity type.

The provider's business location address is:

415 B POTTERY FACTORY DR
COMMERCE, GA
ZIP 30529-682
Phone: (706) 336-0074
Fax: (706) 336-0079

The provider's authorized official is Lisa A Brookshire .
The authorized official title is Office Manager and has the following contact phone number (706) 336-0074.

The enumeration date for this NPI number is 6/30/2009 and was last updated on 8/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	049138	GEORGIA	No
2	261QM1300X	Clinic/Center	Multi-Specialty	049138	GEORGIA	No
3	261QP2300X	Clinic/Center	Primary Care	049138	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	202G701113	MEDICARE PIN
2	1386802155	OTHER	GEORGIA	NPI 1386802155
3	971545216B	MEDICAID	GEORGIA
4	134759118	OTHER	GEORGIA	MEDICAID REFERENCE NUMBER
5	H25202	MEDICARE UPIN	GEORGIA
6	02BBGNJ	MEDICARE PIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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