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Organization
UNION URGENT CARE LLC
Active
Organization
UNION URGENT CARE LLC
Active
Parent organization
UNION URGENT CARE LLC
Other names
Carolinas HealthCare Urgent Care - Union West
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNION URGENT CARE LLC
Authorized official
DANIEL L WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization
Contact information
Practice address
6030 W HIGHWAY 74, SUITE A, INDIAN TRAIL, NC 28079-3468
(704) 246-2777
(704) 246-4788
Mailing address
PO BOX 60735, CHARLOTTE, NC 28260-0735
(704) 246-2777
(704) 246-4788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017G2
BLUE CROSS - BLUE SHIELD
NY
05
—
5901877
—
NC
Enumeration date
08/05/2006
Last updated
02/12/2008
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