NPIMap

Organization Active NPI

Cook Children'S Medical Center

  • Urgent Care Clinic/Center
  • Prosper, TX
National Provider Identifier
1104383983
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
COOK CHILDREN'S MEDICAL CENTER
Practice address
4300 W University Dr
Prosper, TX 75078-9806
Phone
(682) 885-4000
Fax
(682) 885-1903
NPI assigned
Feb 27, 2019
Organization subpart
Yes
Parent organization
COOK CHILDREN'S MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Cory R Rhoades
Title
Chief Financial Officer
Phone
(682) 885-4480

Specialties & licenses 1

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

Addresses

Primary practice location

4300 W University Dr
Prosper, TX 75078-9806

Mailing address

PO Box 99213
Fort Worth, TX 76199-0213
Phone (682) 885-1860

Other names 1

  • Cook Children's Urgent Care Center Prosper Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ws_urgent_care_staff_pool2001606@cookchildrens.direct-ci.com

National Provider Directory

National Provider Directory
Tax ID family
Cook Fort Worth Childre25 organizations share this tax ID, including this one
Part of
Cook Fort Worth Childre

Other organizations with this tax ID 24

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

View all 24

Interoperability endpoints

  • Direct secure messaging: ws_urgent_care_staff_pool2001606@cookchildrens.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1104383983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99213",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761990213",
            "telephone_number": "682-885-1860",
            "fax_number": "682-885-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W UNIVERSITY DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789806",
            "telephone_number": "682-885-4000",
            "fax_number": "682-885-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK CHILDREN'S MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOK CHILDREN'S MEDICAL CENTER",
        "enumeration_date": "2019-02-27",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "RHOADES",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "682-885-4480"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ws_urgent_care_staff_pool2001606@cookchildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "4300 W University Dr",
            "city": "Prosper",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750789806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cook Children's Urgent Care Center Prosper",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.