Provider Demographics
NPI:1144639816
Name:GETWELL URGENT CARE, LLC
Entity type:Organization
Organization Name:GETWELL URGENT CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENNAN
Authorized Official - Middle Name:DRISCOLL
Authorized Official - Last Name:UTER
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:225-706-3033
Mailing Address - Street 1:4520 JAMESTOWN AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-3214
Mailing Address - Country:US
Mailing Address - Phone:225-706-3033
Mailing Address - Fax:225-218-4888
Practice Address - Street 1:6752 GETWELL RD
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38672-6403
Practice Address - Country:US
Practice Address - Phone:662-796-1111
Practice Address - Fax:225-218-4888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care