Provider Demographics
NPI:1164287678
Name:COMMUNITY HEALTH AND URGENT CARE LLC
Entity type:Organization
Organization Name:COMMUNITY HEALTH AND URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:PROF
Authorized Official - First Name:VICKY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C, PGD
Authorized Official - Phone:843-517-9422
Mailing Address - Street 1:107 W COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29550-4113
Mailing Address - Country:US
Mailing Address - Phone:843-951-0053
Mailing Address - Fax:843-951-0054
Practice Address - Street 1:107 W COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550-4113
Practice Address - Country:US
Practice Address - Phone:843-951-0053
Practice Address - Fax:843-951-0054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily