NPIMap

Organization Active NPI

Freedom Urgent Care PLLC

Doing business as Freedom Urgent Care

  • Urgent Care Clinic/Center
  • Killeen, TX
National Provider Identifier
1083151377
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FREEDOM URGENT CARE PLLC
Doing business as
Freedom Urgent Care
Practice address
3202 S W S Young Dr
Suite 106
Killeen, TX 76542-6537
Phone
(225) 214-9352
Fax
(225) 214-9349
NPI assigned
Jan 24, 2017
Reactivated
Feb 20, 2020
Last updated
Feb 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Steve Sellars
Title
President
Phone
(225) 214-9353

Specialties & licenses 1

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

Addresses

Primary practice location

3202 S W S Young Dr
Suite 106
Killeen, TX 76542-6537

Mailing address

10319 Jefferson Hwy
Baton Rouge, LA 70809-2730
Phone (225) 214-9352

Other names 1

  • Freedom Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100224000642 TX Part B Supplier - Clinic/Group Practice 2961546221 Receives reassigned benefits from 54 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Temple, TX; Killeen, TX; Harker Heights, TX; Belton, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2810 Clear Creek Rd
Killeen, TX 76549
Phone (254) 312-4900

3202 S W S Young Dr
Ste 106
Killeen, TX 76542
Phone (254) 781-5446

4901 S 31st St
Ste 110
Temple, TX 76502
Phone (240) 994-0451

Practitioners & affiliated clinicians

Practitioners 70

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1083151377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10319 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092730",
            "telephone_number": "225-214-9352",
            "fax_number": "225-214-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 S W S YOUNG DR",
            "address_2": "SUITE 106",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765426537",
            "telephone_number": "225-214-9352",
            "fax_number": "225-214-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "deactivation_date": "2020-02-17",
        "reactivation_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "SELLARS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-214-9353"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.