Provider Demographics
NPI:1083444780
Name:CARE PLUS MONTROSE ER LLC
Entity type:Organization
Organization Name:CARE PLUS MONTROSE ER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-439-3165
Mailing Address - Street 1:1110 W GRAY ST STE 101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-4156
Mailing Address - Country:US
Mailing Address - Phone:281-306-9748
Mailing Address - Fax:832-413-4493
Practice Address - Street 1:1110 W GRAY ST STE 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-4156
Practice Address - Country:US
Practice Address - Phone:281-306-9748
Practice Address - Fax:832-413-4493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care