Provider Demographics
NPI:1427344860
Name:URGENT CARE OF RIDGEFIELD, LLC
Entity type:Organization
Organization Name:URGENT CARE OF RIDGEFIELD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:R. ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ROHATSCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-885-0808
Mailing Address - Street 1:10 SOUTH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-4124
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10 SOUTH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-4124
Practice Address - Country:US
Practice Address - Phone:203-885-0808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care