Organization Active NPI

Work Life Urgent Care LLC

  • Urgent Care Clinic/Center
  • Glen Burnie, MD
National Provider Identifier
1023467990
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
WORK LIFE URGENT CARE LLC
Practice address
7954 Baltimore Annapolis Blvd
Suite 2-C
Glen Burnie, MD 21060-8188
Phone
(302) 562-9437
Fax
(410) 222-4035
NPI assigned
Jun 10, 2016
Last updated
Jun 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Bamoyo Nkongolo
Title
Owner
Phone
(302) 562-9437

Specialties & licenses 1

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

Addresses

Primary practice location

7954 Baltimore Annapolis Blvd
Suite 2-C
Glen Burnie, MD 21060-8188

Mailing address

7954 Baltimore Annapolis Blvd
Suite 2-C
Glen Burnie, MD 21060-8188
Phone (302) 562-9437

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13778/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1023467990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7954 BALTIMORE ANNAPOLIS BLVD",
            "address_2": "SUITE 2-C",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608188",
            "telephone_number": "302-562-9437",
            "fax_number": "410-222-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7954 BALTIMORE ANNAPOLIS BLVD",
            "address_2": "SUITE 2-C",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608188",
            "telephone_number": "302-562-9437",
            "fax_number": "410-222-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORK LIFE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "NKONGOLO",
        "authorized_official_first_name": "BAMOYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-562-9437"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.