Provider Demographics
NPI:1316268758
Name:PATIENT FIRST URGENT CARE LLC
Entity type:Organization
Organization Name:PATIENT FIRST URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JARROD
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-353-8203
Mailing Address - Street 1:2415 MOORES MILL RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-8428
Mailing Address - Country:US
Mailing Address - Phone:334-502-1117
Mailing Address - Fax:334-466-2101
Practice Address - Street 1:2415 MOORES MILL RD
Practice Address - Street 2:SUITE 230
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-8428
Practice Address - Country:US
Practice Address - Phone:334-502-1117
Practice Address - Fax:334-466-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-21
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL29094261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care