| Village Urgent Care | |
|
1747 Ogletree Rd Ste B Auburn AL 36830-6648 | |
| (334) 412-2576 | |
| Not Available |
| Full Name | Village Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1747 Ogletree Rd Ste B, Auburn, Alabama |
| Authorized Official Name and Position | Walton Callen Walls (OWNER) |
| Authorized Official Contact | 3345397761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Urgent Care 1747 Ogletree Rd Ste B Auburn AL 36830-6648 Ph: () - | Village Urgent Care 1747 Ogletree Rd Ste B Auburn AL 36830-6648 Ph: (334) 412-2576 |
| NPI Number | 1053093682 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 04/03/2024 |
| Medicare PECOS PAC ID | 5890140974 |
|---|---|
| Medicare Enrollment ID | O20231010000694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053093682 | NPI | - | NPPES |
| 1073172805 | Other | AL | NPPES |
| 1982816724 | Other | AL | NPPES |
| 1154791390 | Other | AL | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Aubrey D Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982816724 PECOS PAC ID: 2860445194 Enrollment ID: I20080605000541 |
| Provider Name | Stacy Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972659365 PECOS PAC ID: 1557682812 Enrollment ID: I20150611002277 |
| Provider Name | Walton O Walls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154791390 PECOS PAC ID: 1759681844 Enrollment ID: I20151120002204 |
| Provider Name | Constance Callen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073172805 PECOS PAC ID: 1658609938 Enrollment ID: I20190823002565 |
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