APPLECARE/MEMORIAL IMMEDIATE CARE JOINT VENTURE LLC


Address: 105 Grand Central Blvd Ste 108, Pooler, GA 31322-4148
Phone: 9127481515

APPLECARE/MEMORIAL IMMEDIATE CARE JOINT VENTURE LLC (NPI# 1053772152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053772152
Entity Type Organization
Organization Name APPLECARE/MEMORIAL IMMEDIATE CARE JOINT VENTURE LLC
Other Organization Name APPLECARE POOLER
Practice Address 105 Grand Central Blvd Ste 108
Pooler
GA 31322-4148
Mailing Address 401 Mall Blvd
Suite 202e
Savannah
GA 31406-4862
Practice Telephone 9127481515
Practice Fax Number 9127487707
Mailing Telephone 9123494945
Mailing Fax Number 9123494105
Enumeration Date 2016-03-16
Last Update Date 2020-10-27
Authorized Official Name HEIDI D NASH (ADMINISTRATIVE COORDINATOR)
Authorized Official Telephone 9123494945
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
AppleCare Pooler Other Name - Individual/Organization
AppleCare Savannah Urgent Care Primary Care Other Name - Individual/Organization

Office Location

Street Address 105 GRAND CENTRAL BLVD STE 108
City POOLER
State GA
Zip Code 31322-4148

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427518745 Quinate Pharmacy LLC Pharmacy 1557 Pooler Pkwy, Suite 400, Pooler, GA 31322 2019-03-22
1396202495 Rucker Holdings Durable Medical Equipment & Medical Supplies 210 Grand Central Blvd, Pooler, GA 31322 2019-02-25
1306301841 Altamaha Dme, Inc Durable Medical Equipment & Medical Supplies 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 2019-02-08
1750859351 Bombery Chiropractic LLC Chiropractor 122 Canal St. Ste 109, Pooler, GA 31322 2018-11-13
1407347891 Georgia Dental Professionals, PC Dentist 2140 Pooler Pkwy, Pooler, GA 31322 2018-05-22
1730685439 Monali Patel Optometrist 276 Pooler Pkwy Ste B, Pooler, GA 31322 2018-04-02
1144747023 Publix Super Markers, Inc Durable Medical Equipment & Medical Supplies 101 Blue Moon Crossing, Pooler, GA 31322 2017-08-23
1063932408 The Range Physical Therapy, LLC Clinic/Center 10801 County Line Rd, Madison, AL 31322 2017-06-27
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1578009130 Georgia Cvs Pharmacy L.l.c Durable Medical Equipment & Medical Supplies 500 Pooler Pkwy, Pooler, GA 31322 2017-01-06
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811459258 Fresh Heads Savannah, LLC Clinic/Center 1000 Us Highway 80 W, Pooler, GA 31322-2114 2019-04-04
1154319408 Wound Care Clinic - Esu, Inc. Clinic/Center 1000 Towne Center Blvd, Suite 705, Pooler, GA 31322-4052 2005-10-11
1801257340 Urgent Medical Management LLC Clinic/Center 421 Pooler Pkwy Ste 100, Pooler, GA 31322-5102 2016-03-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619578820 Pinpoint Covid Testing Inc Clinic/Center 3075 Tower Rd Ste A, Columbus, GA 31909-2537 2020-11-04
1194331439 Shittu Family Practice,llc Clinic/Center 11679 Bruce Dr, Hampton, GA 30228-4008 2020-09-22
1154937050 Staywellatl,llc Clinic/Center 2550 Heritage Ct Se Ste 135, Atlanta, GA 30339-3528 2020-09-17
1164035564 The Lotus Haven PC Clinic/Center 950 Dannon Vw Sw Ste 4101, Atlanta, GA 30331-2159 2020-08-25
1518585868 Robin June Dc, LLC Clinic/Center 400 Embassy Row Ste 110, Sandy Springs, GA 30328-5723 2020-07-13
1740808773 All Test Services Clinic/Center 575 Sigman Rd Ne, Conyers, GA 30013-1311 2020-07-07
1134741580 Knowles Exams & More Clinic/Center 123 Glyndale Dr Ste 107, Brunswick, GA 31520-1404 2020-05-08
1558981985 Elite Mens' Health, LLC Clinic/Center 3361 Nottinghill Ln, Valdosta, GA 31605-5874 2020-04-27
1447886320 Momentum Rehab & Therapy Clinic/Center 5349 Snapfinger Woods Dr, Decatur, GA 30035-4028 2020-03-23
1073146759 Transitional Care Clinic LLC Clinic/Center 2084 Newnan Crossing Blvd E Ste 300, Newnan, GA 30265-2561 2020-02-20
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Competitor

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City POOLER
Zip Code 31322

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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