| Vacaville Urgent Care | |
|
1001 Nut Tree Rd Ste 110 Vacaville CA 95687-4166 | |
| (707) 455-1343 | |
| (707) 455-7645 |
| Full Name | Vacaville Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1001 Nut Tree Rd, Vacaville, California |
| Authorized Official Name and Position | Gautam K Vadlamudi (PRESIDENT) |
| Authorized Official Contact | 7074551343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vacaville Urgent Care 1001 Nut Tree Rd Ste 110 Vacaville CA 95687-4166 Ph: (707) 455-1343 | Vacaville Urgent Care 1001 Nut Tree Rd Ste 110 Vacaville CA 95687-4166 Ph: (707) 455-1343 |
| NPI Number | 1831393255 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 06/19/2014 |
| Medicare PECOS PAC ID | 4789741174 |
|---|---|
| Medicare Enrollment ID | O20090330000713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831393255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A51500 (California) | Primary |
| Provider Name | Gautam K Vadlamudi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184729212 PECOS PAC ID: 7517024904 Enrollment ID: I20090330000706 |
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