Provider Demographics
NPI:1255046090
Name:KIDS FIRST CHILDREN'S URGENT CARE
Entity type:Organization
Organization Name:KIDS FIRST CHILDREN'S URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MCGILL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:423-631-0055
Mailing Address - Street 1:329 WESLEY ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-1772
Mailing Address - Country:US
Mailing Address - Phone:423-631-0055
Mailing Address - Fax:877-409-2095
Practice Address - Street 1:329 WESLEY ST
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-1772
Practice Address - Country:US
Practice Address - Phone:423-631-0055
Practice Address - Fax:877-409-2095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty