Valley Integrated Urgent Care and Wellness Center Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

VALLEY INTEGRATED URGENT CARE AND WELLNESS CENTER INC

Practice address

1550 Main St
Dickson Cty, PA 18447-1345

Phone

(570) 550-0870

Fax

(570) 550-0869

NPI assigned

Jul 26, 2023

Organization subpart

No

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

Authorized official

Name

Freud MiliceNPI 1447660410

Title

MD/Owner

Phone

(570) 550-0870

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 10

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

• Freud Milice, MD

  • Emergency Medicine Physician
  • Dickson Cty, PA
  • NPI 1447660410
  Medicare reassignment Care Compare group NPD Authorized official
• Shannyn Carey

  • Physician Assistant
  • Bethlehem, PA
  • NPI 1306383195
  Medicare reassignment Care Compare group
• Elizabeth Nichole Buchanan, PA-C

  • Medical Physician Assistant
  • Hilton Head Island, SC
  • NPI 1942970140

  PA

  Medicare reassignment Care Compare group
• Carolina Favero Braga

  • Hospitalist Physician
  • Dickson Cty, PA
  • NPI 1790216067
  Medicare reassignment NPD
• Maura Christine Merli, CRNP

  • Family Nurse Practitioner
  • Peckville, PA
  • NPI 1609473206
  Medicare reassignment NPD
• Stephanie Bartlett

  • Physician Assistant
  • Scranton, PA
  • NPI 1538830872
  Medicare reassignment
• Erika Lynn Black, FNP-C

  • Family Nurse Practitioner
  • Hawley, PA
  • NPI 1932616356
  Medicare reassignment
• Gavin Davis

  • Physician Assistant
  • Scranton, PA
  • NPI 1831591759
  Medicare reassignment
• Aunisha Desai, PA-C

  • Medical Physician Assistant
  • Kingston, PA
  • NPI 1467601732
  Medicare reassignment
• Amanda Maria Denaples, NP-C

  • Family Nurse Practitioner
  • Dickson Cty, PA
  • NPI 1841622610
  NPD

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1073294732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 MAIN ST",
            "city": "DICKSON CTY",
            "state": "PA",
            "postal_code": "184471345",
            "telephone_number": "570-550-0870",
            "fax_number": "570-550-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MAIN ST",
            "city": "DICKSON CTY",
            "state": "PA",
            "postal_code": "184471345",
            "telephone_number": "570-550-0870",
            "fax_number": "570-550-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY INTEGRATED URGENT CARE AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "MILICE",
        "authorized_official_first_name": "FREUD",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "570-550-0870"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Michael Fox, PHARM D
• Guadalupe Guerrero
• Freud Milice, MD
• Primary Focus Medicine Inc
• Alexandra Riggleman

• Urgent Care Clinic/Center in Dickson Cty, PA
• Providers in Dickson Cty, PA by specialty
• Urgent Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.