Phoenix Urgent Care,LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PHOENIX URGENT CARE,LLC

Practice address

2076 US 69
Hayesville, NC 28904-7036

Phone

(828) 389-1617

Fax

(828) 389-1640

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tony J. Schmidt

Title

Ceo

Phone

(828) 389-1795

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154528446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2996 NC 69 SOUTH",
            "address_2": "SUITE 6",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289047258",
            "telephone_number": "828-389-1795",
            "fax_number": "828-389-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 US 69",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289047036",
            "telephone_number": "828-389-1617",
            "fax_number": "828-389-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX URGENT CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-389-1795",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Elizabeth Peyssard, LPC
• Phoenix Home Health Care Inc
• Phoenix Home Health Care Inc
• Phoenix Supported Living Inc
• Phoenix Supported Living Inc
• Emory Keith Plott, FNP
• Pro Medical Transport LLC
• Professional Therapy Services, LLC
• Margaret A Pruitt, OTR/L
• Michelle Radford, MS, ED

• All providers in Hayesville, NC
• Rural Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.