Clinton Urgent Care Llc

LBN: Clinton Urgent Care Llc
Clinton Urgent Care Llc is an health care organization with primary practice located at 1004 Beaman St , Clinton NC 28328-2329. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Clinton Urgent Care Llc can be contacted via phone (910) 592-9113, or through Jenssen, Shelley via phone (910) 592-9113.

Contact Information

Primary practice address
1004 Beaman St Clinton NC 28328-2329
Phone: (910) 592-9113
Fax: (910) 590-0050
Website:
Map and Directions
Authorized official contact:
Name: Jenssen, Shelley Doctor of Medicine (MD)
Phone: (910) 592-9113

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1598877540
LBN Legal business name Clinton Urgent Care Llc
DBA Doing business as
Authorized official Jenssen, Shelley Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 29th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598877540 NPPES
North Carolina MEDICAID 790106F

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