Organization Active NPI

Trinity Urgent Care LLC

  • Urgent Care Clinic/Center
  • Los Alamos, NM
National Provider Identifier
1053781914
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
MD20060791 Issued in NM
Legal business name
TRINITY URGENT CARE LLC
Practice address
1460 Trinity Dr
Suite a
Los Alamos, NM 87544-4106
Phone
(505) 412-6033
Fax
(505) 412-6032
NPI assigned
Oct 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Robert McClees, MDNPI 1235281726
Title
Ceo
Phone
(505) 550-5277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X MD20060791 NM Primary

Addresses

Primary practice location

1460 Trinity Dr
Suite a
Los Alamos, NM 87544-4106

Mailing address

1460 Trinity Dr
Suite a
Los Alamos, NM 87544-4106
Phone (505) 412-6033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151229000526 NM Part B Supplier - Clinic/Group Practice 7618278151 Receives reassigned benefits from 3 practitioners
Practice locations: Los Alamos, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2110395Trinity Urgent Care1460 Trinity Drive, Suite a, Los Alamos, NM 87544Certificate of waiverMar 13, 2028

National Provider Directory

National Provider Directory

Locations

1460 Trinity Dr
Los Alamos, NM 87544
Phone (505) 412-6032

1460 Trinity Dr
Ste A
Los Alamos, NM 87544
Phone (505) 412-6033

1460 Trinity Dr
Ste Ab
Los Alamos, NM 87544

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1053781914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 TRINITY DR",
            "address_2": "SUITE A",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444106",
            "telephone_number": "505-412-6033",
            "fax_number": "505-412-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 TRINITY DR",
            "address_2": "SUITE A",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444106",
            "telephone_number": "505-412-6033",
            "fax_number": "505-412-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-04",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "MCCLEES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-550-5277",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NM",
            "license": "MD20060791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.