Northfield Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

36003 Issued in MN

Legal business name

NORTHFIELD URGENT CARE LLC

Practice address

2014 Jefferson Rd Ste C
Northfield, MN 55057-3251

Phone

(507) 664-9999

NPI assigned

Jan 26, 2009

Last updated

May 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Bardwell, M.D.

Title

Owner/Operator; Physician Provider

Phone

(952) 994-8530

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1144468448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 JEFFERSON RD STE C",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573251",
            "telephone_number": "507-664-9999",
            "fax_number": "507-664-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 JEFFERSON RD STE C",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573251",
            "telephone_number": "507-664-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHFIELD URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "BARDWELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/OPERATOR; PHYSICIAN PROVIDER",
        "authorized_official_telephone_number": "952-994-8530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MN",
            "license": "36003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204283500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northfield Hospital (Northfield Hospital Long Term Care Center)
• Northfield Hospital (Northfield Hospital Pharmacy)
• Northfield Parkview, Inc.
• Northfield Physical Therapy LLC
• Northfield School of Arts and Technology (Artech Charter School)
• Nutrition Proportion
• Patrick William O'Neill, O.D.
• Madalyn Sue O'Reilly, OTR/L
• Thomas A Oas, MD
• Old Growth Healing LLC (Old Growth Healing)

• Urgent Care Clinic/Center in Northfield, MN
• Providers in Northfield, MN by specialty
• Urgent Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.