Provider Demographics
NPI:1023328978
Name:FIRST CHOICE URGENT CARE LLC
Entity type:Organization
Organization Name:FIRST CHOICE URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:731-225-6387
Mailing Address - Street 1:472 W POPLAR AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-2538
Mailing Address - Country:US
Mailing Address - Phone:901-854-5771
Mailing Address - Fax:901-854-5774
Practice Address - Street 1:472 W POPLAR AVE STE 201
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-2538
Practice Address - Country:US
Practice Address - Phone:901-854-5771
Practice Address - Fax:901-854-5774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-13
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12976261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1457529661OtherNPI
TN1952342586OtherNPI