Organization · Type 2 NPI
My Urban Clinic, Inc
Clinic/Center · Centralia, IL
NPI number
1932397510
Active
Practice location
817 E Mccord
Centralia, IL 62801
Fax (618) 533-1110
Mailing address
PO Box 421472
Houston, TX 77242-1472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
Other clinic/center providers in Centralia
About NPI 1932397510
My Urban Clinic, Inc's National Provider Identifier is 1932397510, issued on Oct 9, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Centralia, IL. The record was last updated on Jul 21, 2022.