Provider Demographics
NPI:1124303847
Name:ALL ABOUT YOU URGENT CARE
Entity type:Organization
Organization Name:ALL ABOUT YOU URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-746-6330
Mailing Address - Street 1:2508 SCOTTSVILLE ROAD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104
Mailing Address - Country:US
Mailing Address - Phone:270-746-6330
Mailing Address - Fax:801-804-2121
Practice Address - Street 1:2508 SCOTTSVILLE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-4404
Practice Address - Country:US
Practice Address - Phone:270-746-6330
Practice Address - Fax:801-804-2121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-13
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty