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HN UCC LLC NPI 1093308504


NPI Information

NPI: 1093308504
Provider Name: HN UCC LLC

Doing Business As: HALIFAX HEALTH EXPRESS CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 10D2241382

Address:
3048 S ATLANTIC AVE
DAYTONA BEACH, FL
ZIP 32118
Phone: (423) 531-1330
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HN UCC LLC is an urgent care clinic center in Daytona Beach, FL. HN UCC LLC NPI is 1093308504. The provider is registered as an organization entity type.
The provider Is Doing Business As Halifax Health Express Care.

The provider's business location address is:

3048 S ATLANTIC AVE
DAYTONA BEACH, FL
ZIP 32118-102
Phone: (423) 531-1330

The provider's authorized official is Katherine Elizabeth Pendergrass .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (423) 331-2055.

The CLIA number assigned to this NPI record is 10D2241382 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2021 and was last updated on 4/10/2024.


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
1261QU0200XClinic/CenterUrgent CareYes

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: 5/5/2024

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