| NPI | 1861954638 |
|---|---|
| Doing Business As | PROVIDENCE URGENT CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | SCOTT M FURNISS Sr VP Finance/CFO 202-854-7169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207R00000X Internal Medicine | |
| 261Q00000X Clinic/Center | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2021-01-04 |