NPIMap

Organization Active NPI

Madrona Hill Urgent Care LLC

  • Urgent Care Clinic/Center
  • Port Ludlow, WA
National Provider Identifier
1093969859
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
602565539 Issued in WA
Legal business name
MADRONA HILL URGENT CARE LLC
Practice address
9481 Oak Bay Rd Ste a
Port Ludlow, WA 98365-9794
Phone
(360) 437-9990
NPI assigned
Nov 6, 2008
Organization subpart
Yes
Parent organization
MADRONA HILL URGENT CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
James Clayton Blair III, PA-CNPI 1447202585
Title
Manager
Phone
(360) 344-3663

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 602565539 WA Primary

Addresses

Primary practice location

9481 Oak Bay Rd Ste a
Port Ludlow, WA 98365-9794

Mailing address

2500 W Sims Way Ste 1
Port Townsend, WA 98368-2234
Phone (360) 344-3663

Other names 1

  • Madrona Hill Port Ludlow Other name

National Provider Directory

National Provider Directory
Part of
Madrona Hill Urgent Care LLC

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13337/brand/1/csg/1/fhir/r4

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1093969859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W SIMS WAY STE 1",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682234",
            "telephone_number": "360-344-3663",
            "fax_number": "360-344-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9481 OAK BAY RD STE A",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "983659794",
            "telephone_number": "360-437-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADRONA HILL URGENT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADRONA HILL URGENT CARE LLC",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-344-3663",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "WA",
            "license": "602565539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madrona Hill Port Ludlow",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Ludlow, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.