NORCAL URGENT CARE INC NPI 1760403125

NPI Information

NORCAL URGENT CARE, INC is a primary care clinic center in Manteca, CA. NORCAL URGENT CARE, INC NPI is 1760403125. The provider is registered as an organization entity type.
The provider Is Doing Business As Main Street Urgent Care, Inc..

The provider's business location address is:

1040 N MAIN ST
MANTECA, CA
ZIP 95336-745
Phone: (209) 825-5155
Fax: (209) 825-6155

The provider's authorized official is Jana Marie Anslinger .
The authorized official title is Office Supervisor and has the following contact phone number (209) 825-5155.

The CLIA number assigned to this NPI record is 05D2132229 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 11/3/2011.

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:

Other Identifiers

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