Organization Active NPI

Urgent Medicine Associates LLC

  • Clinic/Center
  • Fargo, ND
National Provider Identifier
1154490399
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
URGENT MEDICINE ASSOCIATES LLC
Practice address
2829 University Dr S
Ste 101
Fargo, ND 58103-6050
Phone
(701) 232-9000
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
Kurt KooyerNPI 1063456218
Title
Partner
Phone
(701) 232-9000

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2829 University Dr S
Ste 101
Fargo, ND 58103-6050

Mailing address

2829 University Dr S
Ste 101
Fargo, ND 58103-6050

Other identifiers 2

IdentifierTypeStateIssuer
367119400MedicaidMN
12969MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428000966 ND Part B Supplier - Clinic/Group Practice 9537156807 Receives reassigned benefits from 7 practitioners
Practice locations: Fargo, ND

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D1035027Urgent Medicine Associates LLC2829 University Dr S, Ste 101, Fargo, ND 58103Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory

Locations

3290 20th St S
Fargo, ND 58104
Phone (701) 499-4800

2301 25th St S
Ste N
Fargo, ND 58103
Phone (701) 232-9000

Practitioners & affiliated clinicians

Practitioners 8

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1154490399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 UNIVERSITY DR S",
            "address_2": "STE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 UNIVERSITY DR S",
            "address_2": "STE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036050",
            "telephone_number": "701-232-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT MEDICINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "KOOYER",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "701-232-9000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367119400",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12969",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.