Organization
URGENT CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH F MARRA JR. C.R.N.P. (OWNER)
(814) 943-6111
Entity
Organization
Contact information
Practice address
3010 MAPLE AVE, ALTOONA, PA 16601-1736
(814) 943-6111
(814) 943-6118
Mailing address
3010 MAPLE AVE, ALTOONA, PA 16601-1736
(814) 943-6111
(814) 943-6118
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
SP007906
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015127860002
—
PA
Enumeration date
03/20/2008
Last updated
04/22/2008
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