Provider Demographics
NPI:1720836836
Name:JOHNS ISLAND URGENT CARE, LLC
Entity type:Organization
Organization Name:JOHNS ISLAND URGENT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:434-238-6897
Mailing Address - Street 1:2055 UTSEY ST
Mailing Address - Street 2:
Mailing Address - City:JOHNS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29455-8296
Mailing Address - Country:US
Mailing Address - Phone:434-283-6897
Mailing Address - Fax:
Practice Address - Street 1:501 HAYES PARK BLVD
Practice Address - Street 2:
Practice Address - City:JOHNS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29455-4952
Practice Address - Country:US
Practice Address - Phone:434-283-6897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care