Provider Demographics
NPI:1174087563
Name:OUR URGENT CARE, LLC
Entity type:Organization
Organization Name:OUR URGENT CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-887-3020
Mailing Address - Street 1:1615 JUNGERMANN RD
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63304-2821
Mailing Address - Country:US
Mailing Address - Phone:636-875-7350
Mailing Address - Fax:636-875-7477
Practice Address - Street 1:1615 JUNGERMANN RD
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63304-2821
Practice Address - Country:US
Practice Address - Phone:636-452-5818
Practice Address - Fax:636-875-7477
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OUR URGENT CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-30
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care