URGENT FAMILY CARE INC NPI 1972861011

NPI Information

NPI: 1972861011
Provider Name: URGENT FAMILY CARE INC

Doing Business As: GOSPHA G CAMPBELL MD INC

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

Specialization: Urgent Care

Address:
1850 S WATERMAN AVE
SUITE F
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 890-9393
Get Directions

URGENT FAMILY CARE INC is an urgent care clinic center in San Bernardino, CA. URGENT FAMILY CARE INC NPI is 1972861011. The provider is registered as an organization entity type.
The provider Is Doing Business As Gospha G Campbell Md Inc.

The provider's business location address is:

1850 S WATERMAN AVE
SUITE F
SAN BERNARDINO, CA
ZIP 92408-877
Phone: (909) 890-9393
Fax: (909) 890-9394

The provider's authorized official is Gospha Gordon Campbell .
The authorized official title is Ceo and has the following contact phone number (909) 890-9393.

The CLIA number assigned to this NPI record is 05D2274250 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2012 and was last updated on 4/26/2012.

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	FNP 42352	CALIFORNIA	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	1306012935	MEDICARE PIN	CALIFORNIA
2	1215182803	MEDICARE PIN	CALIFORNIA

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

NPI Synchronization or Removal

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