Organization
URGENT CARES OF AMERICA NORTH CAROLINA INC
Active
Parent organization
MEDVANTX, INC.
Other names
FASTMED URGENT CARE OF WINSTON-SALEM OLD COUNTRY CLUB
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OPS)
(858) 964-1508
Entity
Organization
Contact information
Practice address
4937 OLD COUNTRY CLUB ROAD, WINSTON-SALEM, NC 27104
(336) 546-1666
Mailing address
5626 OBERLIN DR, 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
0010-02693
NC
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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