Organization
COUNTRY CLUB URGENT CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY SHORT (PA-C)
(915) 474-2454
Entity
Organization
Contact information
Practice address
8041 N MESA ST, SUITE B-2, EL PASO, TX 79932-1735
(915) 474-2454
Mailing address
8041 N MESA ST, SUITE B-2, EL PASO, TX 79932-1735
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
PA03258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00825875
—
NM
05
—
218658701
—
TX
05
—
39472876
—
NM
05
—
40379761
—
NM
Enumeration date
09/07/2014
Last updated
12/12/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us