Organization Active NPI

Medgen Urgent Care Virginia LLC

  • Urgent Care Clinic/Center
  • Alexandria, VA
National Provider Identifier
1033500079
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDGEN URGENT CARE VIRGINIA LLC
Practice address
3117 Duke St
Alexandria, VA 22314-4518
Phone
(703) 751-8800
NPI assigned
Feb 12, 2015
Organization subpart
Yes
Parent organization
MEDGEN URGENT CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Clelia Walters
Title
Part Owner
Phone
(202) 258-1627

Specialties & licenses 1

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

Addresses

Primary practice location

3117 Duke St
Alexandria, VA 22314-4518

Mailing address

6841 Elm St
#916
MC Lean, VA 22101-0916
Phone (202) 258-1627

National Provider Directory

National Provider Directory

Locations

3117 Duke St
Alexandria, VA 22314
Phone (703) 751-8800

6841 Elm St
Unit 916
McLean, VA 22101

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1033500079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6841 ELM ST",
            "address_2": "#916",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221010916",
            "telephone_number": "202-258-1627",
            "fax_number": "844-213-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144518",
            "telephone_number": "703-751-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDGEN URGENT CARE VIRGINIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDGEN URGENT CARE LLC",
        "enumeration_date": "2015-02-12",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "CLELIA",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "202-258-1627"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.