Provider Demographics
NPI:1588864995
Name:AFTER HOURS CARE PA
Entity type:Organization
Organization Name:AFTER HOURS CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BATTLES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:904-966-2400
Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:STARKE
Mailing Address - State:FL
Mailing Address - Zip Code:32091-0068
Mailing Address - Country:US
Mailing Address - Phone:904-966-2400
Mailing Address - Fax:904-966-2407
Practice Address - Street 1:319 W CALL ST
Practice Address - Street 2:SUITE A
Practice Address - City:STARKE
Practice Address - State:FL
Practice Address - Zip Code:32091-3113
Practice Address - Country:US
Practice Address - Phone:904-966-2400
Practice Address - Fax:904-966-2407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care