NPIMap

Organization Active NPI

Gold Star Urgent Care LLC

  • Urgent Care Clinic/Center
  • Florence, SC
National Provider Identifier
1053191320
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
GOLD STAR URGENT CARE LLC
Practice address
514 2ND Loop Rd Ste E
Florence, SC 29505-2848
Phone
(843) 407-4451
NPI assigned
Oct 3, 2023
Last updated
Oct 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
GOLD STAR URGENT CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Latoya Sierra Lane-Milo
Title
Owner
Phone
(843) 407-4451

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

514 2ND Loop Rd Ste E
Florence, SC 29505-2848

Mailing address

960 Pamplico Hwy Ste L
Florence, SC 29505-6244
Phone (843) 407-4451

National Provider Directory

National Provider Directory
Tax ID family
Gold Star Urgent Care LLC2 organizations share this tax ID, including this one
Part of
Gold Star Urgent Care LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1053191320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 PAMPLICO HWY STE L",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056244",
            "telephone_number": "843-407-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 2ND LOOP RD STE E",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295052848",
            "telephone_number": "843-407-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STAR URGENT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOLD STAR URGENT CARE, LLC",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "LANE-MILO",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "SIERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-407-4451"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.