Provider Demographics
NPI:1679226377
Name:HOLY CROSS HEALTH URGENT CARE
Entity type:Organization
Organization Name:HOLY CROSS HEALTH URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP - REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-214-1031
Mailing Address - Street 1:1200 EAST CAMPBELL RD
Mailing Address - Street 2:SUITE 108 - LOCKBOX #676284
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081
Mailing Address - Country:US
Mailing Address - Phone:972-275-7012
Mailing Address - Fax:
Practice Address - Street 1:10072 DARNESTOWN RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3313
Practice Address - Country:US
Practice Address - Phone:240-642-3220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-02
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care