Provider Demographics
NPI:1144947508
Name:AGENACARE URGENT CARE
Entity type:Organization
Organization Name:AGENACARE URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIRSTIN
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:FIGEL
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:540-352-4000
Mailing Address - Street 1:21230 VIRGIL H GOODE HWY
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:VA
Mailing Address - Zip Code:24151-4022
Mailing Address - Country:US
Mailing Address - Phone:540-352-4000
Mailing Address - Fax:540-266-3727
Practice Address - Street 1:21230 VIRGIL H GOODE HWY
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-4022
Practice Address - Country:US
Practice Address - Phone:540-352-4000
Practice Address - Fax:833-687-1277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-25
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care