Provider Demographics
NPI:1902526312
Name:CAPE REGIONAL URGENT CARE LLC
Entity type:Organization
Organization Name:CAPE REGIONAL URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:RUSKEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:856-728-8700
Mailing Address - Street 1:8 ROUTE 9 SOUTH
Mailing Address - Street 2:
Mailing Address - City:MARMORA
Mailing Address - State:NJ
Mailing Address - Zip Code:08223
Mailing Address - Country:US
Mailing Address - Phone:609-465-6364
Mailing Address - Fax:609-862-2511
Practice Address - Street 1:8 ROUTE 9 SOUTH
Practice Address - Street 2:
Practice Address - City:MARMORA
Practice Address - State:NJ
Practice Address - Zip Code:08223
Practice Address - Country:US
Practice Address - Phone:609-465-6364
Practice Address - Fax:609-862-2511
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPE REGIONAL URGENT CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care