Applecare/Memorial Immediate Care Joint Venture LLC
Organization Active NPI Clinic/Center · Pooler, GA
NPI 1053772152 · NPPES record last updated Oct 27, 2020
Key facts
- NPI
- 1053772152
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- APPLECARE/MEMORIAL IMMEDIATE CARE JOINT VENTURE LLC
- Practice address
- 105 Grand Central Blvd Ste 108
Pooler, GA 31322-4148 - Phone
- (912) 748-1515
- Fax
- (912) 748-7707
- NPI assigned
- Mar 16, 2016
- Organization subpart
- No
Authorized official
- Name
- Heidi D Nash
- Title
- Administrative Coordinator
- Phone
- (912) 349-4945
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Applecare Memorial Immediate Care Joint Venture LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
105 Grand Central Blvd Ste 108
Pooler, GA 31322-4148
Mailing address
401 Mall Blvd
Suite 202E
Savannah, GA 31406-4862
Phone (912) 349-4945
Other names
- AppleCare Pooler
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.