| Med 360 Urgent Care, Llc | |
|
1700 Highway 78 E Jasper AL 35501-4036 | |
| (205) 512-1058 | |
| (205) 487-8827 |
| Full Name | Med 360 Urgent Care, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1700 Highway 78 E, Jasper, Alabama |
| Authorized Official Name and Position | Farouk Anwarul Raquib (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2054874535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Med 360 Urgent Care, Llc 1700 Highway 78 E Jasper AL 35501-4036 Ph: (205) 412-5720 | Med 360 Urgent Care, Llc 1700 Highway 78 E Jasper AL 35501-4036 Ph: (205) 512-1058 |
| NPI Number | 1871044677 |
|---|---|
| Provider Enumeration Date | 10/18/2016 |
| Last Update Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871044677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | 170018 (Alabama) | Secondary |
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