COUNTY LINE URGENT CARE LLC NPI 1205436516

NPI Information

NPI: 1205436516
Provider Name: COUNTY LINE URGENT CARE LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
603 W COUNTY LINE RD
LAKEWOOD, NJ
ZIP 08701
Phone: (732) 730-9111
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COUNTY LINE URGENT CARE LLC is an urgent care clinic center in Lakewood, NJ. COUNTY LINE URGENT CARE LLC NPI is 1205436516. The provider is registered as an organization entity type.

The provider's business location address is:

603 W COUNTY LINE RD
LAKEWOOD, NJ
ZIP 08701-216
Phone: (732) 730-9111
Fax: (732) 595-1330

The provider's authorized official is Norman Indich .
The authorized official title is Owner and has the following contact phone number (732) 730-9111.

The enumeration date for this NPI number is 10/27/2020 and was last updated on 10/27/2020.

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			Yes

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: 4/28/2024

NPI Synchronization or Removal

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