Provider Demographics
NPI:1154528446
Name:PHOENIX URGENT CARE,LLC
Entity type:Organization
Organization Name:PHOENIX URGENT CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-389-1795
Mailing Address - Street 1:2996 NC 69 SOUTH
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HAYESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28904-7258
Mailing Address - Country:US
Mailing Address - Phone:828-389-1795
Mailing Address - Fax:828-389-1658
Practice Address - Street 1:2076 US 69
Practice Address - Street 2:
Practice Address - City:HAYESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28904-7036
Practice Address - Country:US
Practice Address - Phone:828-389-1617
Practice Address - Fax:828-389-1640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health