NPI 1609187905 · live from the CMS NPI Registry
Advanced Urgent Care PC
Clinic/Center, Urgent Care in State College, PA. National Provider Identifier 1609187905, active.
NPI record
| NPI | 1609187905 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Urgent Care 261QU0200X |
| Practice location | 2615 E College Ave, State College, PA 16801 |
| Practice phone | 814-308-8155 |
| Mailing address | Po Box 957, Scranton, PA 18501 |
| Enumerated | July 1, 2010 |
| Last updated | May 4, 2012 |
| Authorized official | Deborah Vullings, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Clinic/Center, Urgent Care primary | 261QU0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.