Organization Active NPI

Medcare Urgent Care Center Sparkleberry

  • Urgent Care Clinic/Center
  • Columbia, SC
National Provider Identifier
1043561020
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDCARE URGENT CARE CENTER SPARKLEBERRY
Practice address
10136 Two Notch Rd Ste 104
Columbia, SC 29229-4399
Phone
(843) 576-5246
Fax
(843) 576-5243
NPI assigned
Oct 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Nancy Wilkes
Title
VP Revenue Cycle Management
Phone
(843) 576-5246

Specialties & licenses 1

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

Addresses

Primary practice location

10136 Two Notch Rd Ste 104
Columbia, SC 29229-4399

Mailing address

1850 Sam Rittenberg Blvd
Suite B
Charleston, SC 29407-4936
Phone (843) 576-5246

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1043561020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SAM RITTENBERG BLVD",
            "address_2": "SUITE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074936",
            "telephone_number": "843-576-5246",
            "fax_number": "843-576-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10136 TWO NOTCH RD STE 104",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292294399",
            "telephone_number": "843-576-5246",
            "fax_number": "843-576-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE URGENT CARE CENTER SPARKLEBERRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "VP REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "843-576-5246"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.