Provider Demographics
NPI:1093727042
Name:UPPER VALLEY URGENT CARE CENTER
Entity type:Organization
Organization Name:UPPER VALLEY URGENT CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALORGBEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-584-8882
Mailing Address - Street 1:121 E REDD RD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932-1981
Mailing Address - Country:US
Mailing Address - Phone:915-584-8882
Mailing Address - Fax:915-584-8884
Practice Address - Street 1:121 E REDD RD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79932
Practice Address - Country:US
Practice Address - Phone:915-584-8882
Practice Address - Fax:915-584-8884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00W842Medicare PIN