# JEFFERSON URGENT CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jefferson Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992726236
- **Authorized official:** MR. SEAN PATRICK RHOADS PAC (OWNER)
- **Authorized official phone:** (304) 728-8543

## Contact information

- **Practice address:** 84 SOMERSET BLVD, CHARLES TOWN, WV 25414-4827
- **Practice address phone:** (304) 728-8543
- **Practice address fax:** (304) 728-8644
- **Mailing address:** 84 SOMERSET BLVD, CHARLES TOWN, WV 25414-4827
- **Mailing address phone:** (304) 728-8543
- **Mailing address fax:** (304) 728-8644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 04/02/2020