1891833737 NPI number — RAPID URGENT CARE LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891833737 NPI number — RAPID URGENT CARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RAPID URGENT CARE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
RAPID CARE FLAMINGO
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891833737
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2080 E FLAMINGO RD
Provider Second Line Business Mailing Address:
SUITE 309
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89119-5164
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-982-1087
Provider Business Mailing Address Fax Number:
702-982-1102

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2080 E FLAMINGO RD
Provider Second Line Business Practice Location Address:
SUITE 309
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89119-5164
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-982-1087
Provider Business Practice Location Address Fax Number:
702-982-1102
Provider Enumeration Date:
02/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RODRIGUEZ
Authorized Official First Name:
HUMBERTO
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO MEDICAL DIRECTOR
Authorized Official Telephone Number:
702-982-1087

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2000089.426 . This is a "BUSINESS LICENSE" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".




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