Gateway Urgent Care, LLC

Organization Active NPI Nurse Practitioner · Owensboro, KY

NPI 1124325865 · NPPES record last updated Aug 7, 2020

Key facts

NPI
1124325865
Entity type
Organization (NPI type 2)
Primary specialty
Nurse Practitioner 363L00000X
Legal business name
GATEWAY URGENT CARE, LLC
Practice address
3245 Mount Moriah Ave
Suite 10
Owensboro, KY 42303-7834
Phone
(270) 570-7500
Fax
(270) 689-0051
NPI assigned
Feb 15, 2011
Organization subpart
No

Authorized official

Name
Mr. John McNulty
Title
Part Owner
Phone
(270) 570-7500

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20110310000481 KY Part B Supplier - Clinic/Group Practice 6406038579 Receives reassigned benefits from 17 practitioners
Practice locations: Owensboro, KY

National Provider Directory

Locations

2804 Frederica St
Owensboro, KY 42301

2804 Frederica St
Ste 1
Owensboro, KY 42301
Phone (270) 240-3633

3245 Mount Moriah Ave
Owensboro, KY 42303

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363L00000X Yes

Addresses

Primary practice location

3245 Mount Moriah Ave
Suite 10
Owensboro, KY 42303-7834

Mailing address

3245 Mount Moriah Ave
Suite 10
Owensboro, KY 42303-7834
Phone (270) 663-0955

Other providers in Owensboro, KY

All providers in Owensboro, KY · Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.