Organization
URGENT CARE OF ADA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE A ROSS (CEO)
(580) 436-4400
Entity
Organization
Contact information
Practice address
1023 ARLINGTON ST, ADA, OK 74820-4042
(580) 436-4400
Mailing address
1023 ARLINGTON ST, ADA, OK 74820-4042
(580) 436-4400
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200300580A
—
OK
Enumeration date
08/10/2010
Last updated
01/19/2012
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