Urgent Care Banks Crossing Llc

LBN: Urgent Care Banks Crossing Llc
Urgent Care Banks Crossing Llc is an health care organization with primary practice located at 415 B Pottery Factory Dr , Commerce GA 30529-6682. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Urgent Care Banks Crossing Llc can be contacted via phone (706) 336-0074, or through Brookshire, Lisa A via phone (706) 336-0074.

Contact Information

Primary practice address
415 B Pottery Factory Dr Commerce GA 30529-6682
Phone: (706) 336-0074
Fax: (706) 336-0079
Website:
Map and Directions
Authorized official contact:
Name: Brookshire, Lisa A
Phone: (706) 336-0074

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 049138 Georgia
Ambulatory Health Care Facilities / Primary Care 261QP2300X 049138 Georgia
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 049138 Georgia

Profile Details

NPI number 1043448848
LBN Legal business name Urgent Care Banks Crossing Llc
DBA Doing business as
Authorized official Brookshire, Lisa A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2009
Last updated Aug 3rd, 2010 - 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 1043448848 NPPES
Georgia Other 134759118 MEDICAID REFERENCE NUMBER
Georgia MEDICAID 971545216B MEDICAID REFERENCE NUMBER
Georgia Other 1386802155 MEDICAID REFERENCE NUMBER

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