Organization Active NPI

Lawton Urgent Care Associates LLC

Doing business as WellFast Urgent Care Center West

  • Urgent Care Clinic/Center
  • Lawton, OK
National Provider Identifier
1003949884
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
014482465 Issued in OK
Legal business name
LAWTON URGENT CARE ASSOCIATES LLC
Doing business as
WellFast Urgent Care Center West
Practice address
20 NW 67TH St
Suite E
Lawton, OK 73505-5630
Phone
(580) 536-9400
Fax
(580) 536-9401
NPI assigned
Mar 13, 2007
Last updated
Oct 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Claudia Kesselheim
Title
Business Manager
Phone
(580) 536-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 014482465 OK Primary

Addresses

Primary practice location

20 NW 67TH St
Suite E
Lawton, OK 73505-5630

Mailing address

20 NW 67TH St
Suite E
Lawton, OK 73505-5630
Phone (580) 536-9400

Other identifiers 1

IdentifierTypeStateIssuer
200101740AMedicaidOK

Other names 1

  • WellFast Urgent Care Center West Doing business as

National Provider Directory

National Provider Directory

Locations

20 NW 67th St
Ste E
Lawton, OK 73505
Phone (580) 284-0564

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1003949884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NW 67TH ST",
            "address_2": "SUITE E",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055630",
            "telephone_number": "580-536-9400",
            "fax_number": "580-536-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NW 67TH ST",
            "address_2": "SUITE E",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055630",
            "telephone_number": "580-536-9400",
            "fax_number": "580-536-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWTON URGENT CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "KESSELHEIM",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "580-536-9400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OK",
            "license": "014482465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200101740A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellFast Urgent Care Center West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.