NPIMap

Organization Active NPI

University of Maryland Charles Regional Urgent Care, LLC

  • Urgent Care Clinic/Center
  • La Plata, MD
National Provider Identifier
1114393048
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
UNIVERSITY OF MARYLAND CHARLES REGIONAL URGENT CARE, LLC
Practice address
500 Charles St
La Plata, MD 20646-5931
Phone
(301) 609-4699
NPI assigned
Aug 14, 2015
Last updated
Aug 14, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF MARYLAND CHARLES REGIONAL HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Erik Boas
Title
Chief Financial Officer
Phone
(301) 609-5163

Specialties & licenses 1

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

Addresses

Primary practice location

500 Charles St
La Plata, MD 20646-5931

Mailing address

500 Charles St
La Plata, MD 20646-5931
Phone (301) 609-4699

National Provider Directory

National Provider Directory

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1114393048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHARLES ST",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465931",
            "telephone_number": "301-609-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHARLES ST",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465931",
            "telephone_number": "301-609-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND CHARLES REGIONAL URGENT CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF MARYLAND CHARLES REGIONAL HEALTH, INC.",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "BOAS",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "301-609-5163"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.