NPIMap

Organization Active NPI

North Florida Immediate Care Center

Doing business as Immediate Care Center

  • Urgent Care Clinic/Center
  • Gainesville, FL
National Provider Identifier
1093872889
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
6211110000007 Issued in FL
Legal business name
NORTH FLORIDA IMMEDIATE CARE CENTER
Doing business as
Immediate Care Center
Practice address
812 NW 57TH St
Gainesville, FL 32605-6414
Phone
(352) 333-4700
Fax
(352) 333-4717
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kyle Baxter, MHA
Title
Medical Office Manager
Phone
(352) 333-6227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 6211110000007 FL Primary

Addresses

Primary practice location

812 NW 57TH St
Gainesville, FL 32605-6414

Mailing address

812 NW 57TH St
Gainesville, FL 32605-6414
Phone (352) 333-4700

Other identifiers 1

IdentifierTypeStateIssuer
B901ZOtherFLBCBS FACILITY ID

Other names 1

  • Immediate Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Immediate Care Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093872889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 NW 57TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056414",
            "telephone_number": "352-333-4700",
            "fax_number": "352-333-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 NW 57TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056414",
            "telephone_number": "352-333-4700",
            "fax_number": "352-333-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA IMMEDIATE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "MEDICAL OFFICE MANAGER",
        "authorized_official_telephone_number": "352-333-6227",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "6211110000007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FACILITY ID",
            "identifier": "B901Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immediate Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.