Community Urgent Care Lakeside North

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

COMMUNITY URGENT CARE LAKESIDE NORTH

Practice address

38 Rowe Dr
Guntersville, AL 35976-7367

Phone

(256) 571-8460

Fax

(256) 571-8464

NPI assigned

May 6, 2014

Organization subpart

No

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

Authorized official

Name

Nakita Meredith

Title

Practice Manager

Phone

(256) 571-8581

Specialties & licenses 2

Addresses

Other names 1

• Lakeside North Doing business as

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1013327527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 ROWE DR",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767367",
            "telephone_number": "256-571-8460",
            "fax_number": "256-571-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 ROWE DR",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767367",
            "telephone_number": "256-571-8460",
            "fax_number": "256-571-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY URGENT CARE LAKESIDE NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "NAKITA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "256-571-8581"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paula J Clifton, M.S.
• Lisa R. Clonts, MA
• Madison Cheyanne Cofield, MSW
• David Harold Cole, LMFT
• Michael Dewayne Collins, BSW
• Sharon Marie Conley, LPC
• Joan Marie Cook, R MR
• Rachel Cook, BSW
• Douglas M. Cooke, LPC, LMFT
• Melvin Ray Cooper III III

• Urgent Care Clinic/Center in Guntersville, AL
• Providers in Guntersville, AL by specialty
• Urgent Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.