NPIMap

Organization Active NPI

Urgent Cares of America North Carolina Inc

Doing business as FastMed Urgent Care of Glenwood

  • Non-Pharmacy Dispensing Site
  • Raleigh, NC
National Provider Identifier
1033589072
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
0010-05433 Issued in NC
Legal business name
URGENT CARES OF AMERICA NORTH CAROLINA INC
Doing business as
FastMed Urgent Care of Glenwood
Practice address
6010 Glenwood Ave
Raleigh, NC 27612-2602
Phone
(984) 232-2164
NPI assigned
Oct 2, 2015
Last updated
Oct 2, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDVANTX, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Authorized official

Name
Kenny Heine
Title
VP of Operations
Phone
(858) 964-1506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 0010-05433 NC Primary

Addresses

Primary practice location

6010 Glenwood Ave
Raleigh, NC 27612-2602

Mailing address

9276 Scranton Rd
Suite 100
San Diego, CA 92121-7701

Other names 1

  • FastMed Urgent Care of Glenwood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fastmed Urgent Care PC85 organizations share this tax ID, including this one
Part of
Medvantx Inc

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1033589072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9276 SCRANTON RD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921217701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 GLENWOOD AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122602",
            "telephone_number": "984-232-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARES OF AMERICA NORTH CAROLINA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NC",
            "license": "0010-05433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FastMed Urgent Care of Glenwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.