1154695344 NPI number — URGENT CARES OF AMERICA NORTH CAROLINA INC.

Table of content: DR. ELIZABETH ANN SHUTT PH.D. (NPI 1982125902)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154695344 NPI number — URGENT CARES OF AMERICA NORTH CAROLINA INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
URGENT CARES OF AMERICA NORTH CAROLINA INC.
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:
Provider Other Organization Name Type Code:
6
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:
1154695344
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/06/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
935 SHOTWELL RD
Provider Second Line Business Mailing Address:
SUITE 208
Provider Business Mailing Address City Name:
CLAYTON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27520-5597
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-550-0821
Provider Business Mailing Address Fax Number:
919-719-3645

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1800 N SANDHILLS BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ABERDEEN
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28315-2336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-724-2334
Provider Business Practice Location Address Fax Number:
910-246-0952
Provider Enumeration Date:
03/06/2012

Additional Information

Authorized Official

Authorized Official Last Name:
CATTO
Authorized Official First Name:
KATRINA
Authorized Official Middle Name:
Authorized Official Title or Position:
VP OF PRACTICE SERVICES
Authorized Official Telephone Number:
919-550-0821

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com