Provider Demographics
NPI:1871593442
Name:URGENT CARE ASSOCIATES PLLC
Entity type:Organization
Organization Name:URGENT CARE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:C
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:OGLE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:580-249-4269
Mailing Address - Street 1:PO BOX 5038
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73702-5038
Mailing Address - Country:US
Mailing Address - Phone:580-977-1831
Mailing Address - Fax:580-548-1537
Practice Address - Street 1:1805 W GARRIOTT RD
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-5526
Practice Address - Country:US
Practice Address - Phone:580-233-9012
Practice Address - Fax:580-249-4269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK=========-001OtherBCBS OF OKLAHOMA
OK=========-001OtherBCBS OF OKLAHOMA