Provider Demographics
NPI:1447691548
Name:AMORY URGENT CARE, LLC
Entity type:Organization
Organization Name:AMORY URGENT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENNAN
Authorized Official - Middle Name:DRISCOLL
Authorized Official - Last Name:UTER
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:225-706-3033
Mailing Address - Street 1:906 HIGHWAY 278 E
Mailing Address - Street 2:
Mailing Address - City:AMORY
Mailing Address - State:MS
Mailing Address - Zip Code:38821-5511
Mailing Address - Country:US
Mailing Address - Phone:662-256-5612
Mailing Address - Fax:662-256-5264
Practice Address - Street 1:906 HIGHWAY 278 E
Practice Address - Street 2:
Practice Address - City:AMORY
Practice Address - State:MS
Practice Address - Zip Code:38821-5511
Practice Address - Country:US
Practice Address - Phone:662-256-5612
Practice Address - Fax:662-256-5264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-17
Last Update Date:2019-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care