Organization
UNION URGENT CARE LLC
Active
Parent organization
UNION URGENT CARE LLC
Other names
Carolinas HealthCare Urgent Care - Monroe
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
613 E ROOSEVELT BLVD, MONROE, NC 28112-5124
(704) 283-8193
(704) 283-7252
Mailing address
PO BOX 60777, CHARLOTTE, NC 28260-0777
(704) 283-8193
(704) 283-7252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017C2
BLUE CROSS - BLUE SHIELD
NC
05
—
5901850
—
NC
01
—
7705293
MEDICAID DME
NC
Enumeration date
08/05/2006
Last updated
09/23/2011
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