Country Club Urgent Care Center Llc

LBN: Country Club Urgent Care Center Llc
Country Club Urgent Care Center Llc is an health care organization with primary practice located at 8041 N Mesa St Suite B-2, El Paso TX 79932-1735. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Country Club Urgent Care Center Llc can be contacted via phone (915) 474-2454, or through Short, Tracy via phone (915) 474-2454.

Contact Information

Primary practice address
8041 N Mesa St Suite B-2 El Paso TX 79932-1735
Phone: (915) 474-2454
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Short, Tracy
Phone: (915) 474-2454

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X PA03258 Texas

Profile Details

NPI number 1477954683
LBN Legal business name Country Club Urgent Care Center Llc
DBA Doing business as
Authorized official Short, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2014
Last updated Dec 12th, 2014 - about 10 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 1477954683 NPPES
Texas MEDICAID 218658701
Texas MEDICAID 40379761
Texas MEDICAID 00825875
Texas MEDICAID 39472876

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