Provider Demographics
NPI:1316204944
Name:HWY 53 URGENT HEALTH CARE
Entity type:Organization
Organization Name:HWY 53 URGENT HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLETON
Authorized Official - Middle Name:HA
Authorized Official - Last Name:PYFROM
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:256-859-0555
Mailing Address - Street 1:PO BOX 18488
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-8488
Mailing Address - Country:US
Mailing Address - Phone:256-534-8659
Mailing Address - Fax:256-859-4008
Practice Address - Street 1:3740 HIGHWAY 53
Practice Address - Street 2:SUITE Y
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-4722
Practice Address - Country:US
Practice Address - Phone:256-859-0555
Practice Address - Fax:256-859-4008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-20
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty