Provider Demographics
NPI: | 1366289225 |
---|---|
Name: | HEALTHONE CARENOW URGENT CARE, LLC |
Entity type: | Organization |
Organization Name: | HEALTHONE CARENOW URGENT CARE, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | VICE PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | TIMOTHY |
Authorized Official - Middle Name: | DOUGLAS |
Authorized Official - Last Name: | MILLER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 972-906-8103 |
Mailing Address - Street 1: | 2000 HEALTH PARK DR |
Mailing Address - Street 2: | |
Mailing Address - City: | BRENTWOOD |
Mailing Address - State: | TN |
Mailing Address - Zip Code: | 37027-4692 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 615-373-7406 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 6080 W 92ND AVE STE 100 |
Practice Address - Street 2: | |
Practice Address - City: | WESTMINSTER |
Practice Address - State: | CO |
Practice Address - Zip Code: | 80031-2935 |
Practice Address - Country: | US |
Practice Address - Phone: | 720-479-5780 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | HEALTHONE CARENOW URGENT CARE, LLC |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2024-07-09 |
Last Update Date: | 2024-07-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty |