Skip Navigation

Provider Information for 1790022051

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

URGENT CARES OF AMERICA NORTH CAROLINA INC

Other Name:   Doing Business As: FASTMED URGENT CARE OF CHARLOTTE - MALLARD CREEK
Organization Subpart: YES

Organization NPI: 1790022051

Calendar   Last Updated:  2015-07-09
  Certification Date: 

Details

Name Value
NPI 1790022051
Enumeration Date 2013-01-07
NPI Type 2- Organization
Status Active
Authorized Official Information Name: KENNY HEINE
Title: VP OPS
Phone: 858-964-1506
Mailing Address 5626 OBERLIN DR 110
SAN DIEGO, CA 92121-1705
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 2728 WEST MALLARD CREEK RD SUITE 300
CHARLOTTE, NC 28262
United States

Phone: 980-218-1860 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 332900000X - Non-Pharmacy Dispensing Site NC 0010-04743