Provider Demographics
NPI:1831205228
Name:CRIMSON URGENT CARE, LLC
Entity type:Organization
Organization Name:CRIMSON URGENT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SASANK
Authorized Official - Middle Name:RAHEEL
Authorized Official - Last Name:PERAMSETTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-507-1100
Mailing Address - Street 1:1718 VETERANS MEMORIAL PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35404-4708
Mailing Address - Country:US
Mailing Address - Phone:205-507-1100
Mailing Address - Fax:205-553-3318
Practice Address - Street 1:1718 VETERANS MEMORIAL PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35404
Practice Address - Country:US
Practice Address - Phone:205-507-1100
Practice Address - Fax:205-553-3318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2234261QU0200X
207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051556695Medicare ID - Type Unspecified
ALG89880Medicare UPIN