Active NPI
New Med LLC
- Urgent Care Clinic/Center
- Austin, MN
National Provider Identifier
1053608976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 32355
- Legal business name
- NEW MED LLC
- Practice address
- 1702 17TH St NW
Store #6
Austin, MN 55912-6366 - Phone
- (507) 440-0767
- NPI assigned
- Jun 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Shaffer, MD
- Title
- Owner/ MD
- Phone
- (507) 440-0767
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 32355 | MN | Primary |
Addresses
Primary practice location
1702 17TH St NW
Store #6
Austin, MN 55912-6366
Mailing address
1702 17TH St NW
Store #6
Austin, MN 55912-6366
Phone (507) 440-0767
Other names 1
- QuickCare
National Provider Directory
National Provider DirectoryLocations
1702 17th St NW
#6
Austin, MN 55912
Phone (507) 440-0767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312761600000",
"number": "1053608976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 17TH ST NW",
"address_2": "STORE #6",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559126366",
"telephone_number": "507-440-0767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 17TH ST NW",
"address_2": "STORE #6",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559126366",
"telephone_number": "507-440-0767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW MED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-29",
"last_updated": "2011-08-08",
"status": "A",
"authorized_official_last_name": "SHAFFER",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER/ MD",
"authorized_official_telephone_number": "507-440-0767",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "MN",
"license": "32355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "QuickCare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.