Provider Demographics
NPI:1154700870
Name:STOPWATCH URGENT CARE CENTERS, LLC
Entity type:Organization
Organization Name:STOPWATCH URGENT CARE CENTERS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:CFPC
Authorized Official - Phone:334-502-1117
Mailing Address - Street 1:5415 SUMMERVILLE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36867-7365
Mailing Address - Country:US
Mailing Address - Phone:334-384-9411
Mailing Address - Fax:334-384-9409
Practice Address - Street 1:5415 SUMMERVILLE RD
Practice Address - Street 2:SUITE B
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36867-7365
Practice Address - Country:US
Practice Address - Phone:334-384-9411
Practice Address - Fax:334-384-9409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-27
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL261QM1300X261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care