GOLDEN STATE URGENT CARE PROVIDERS A MEDICAL CORPORATION


Address: 1487 Landess Ave, Suite 1481, Milpitas, CA 95035-6953
Phone: 4084165371

GOLDEN STATE URGENT CARE PROVIDERS A MEDICAL CORPORATION (NPI# 1073055612) 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) 1073055612
Entity Type Organization
Organization Name GOLDEN STATE URGENT CARE PROVIDERS A MEDICAL CORPORATION
Practice Address 1487 Landess Ave
Suite 1481
Milpitas
CA 95035-6953
Mailing Address 1 Maryland Farms
Suite 102
Brentwood
TN 37027-5006
Practice Telephone 4084165371
Practice Fax Number 4082621031
Mailing Telephone 6153723359
Enumeration Date 2016-11-14
Last Update Date 2017-04-25
Authorized Official Name AMBER WOODWARD-SMITH (CFO)
Authorized Official Telephone 7204465890
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities

Office Location

Street Address 1487 LANDESS AVE
SUITE 1481
City MILPITAS
State CA
Zip Code 95035-6953

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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

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Competitor

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City MILPITAS
Zip Code 95035

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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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