Organization Active NPI

Bam Urgent Care LLC

Doing business as South County Urgent Care

  • Urgent Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1154556363
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BAM URGENT CARE LLC
Doing business as
South County Urgent Care
Practice address
13065 Old Tesson Ferry Rd
Saint Louis, MO 63128-3441
Phone
(314) 629-7916
Fax
(636) 489-0011
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Authorized official

Name
Dr. Azfar Malik, MD, MBA
Title
Member
Phone
(555) 555-5555

Specialties & licenses 1

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

Addresses

Primary practice location

13065 Old Tesson Ferry Rd
Saint Louis, MO 63128-3441

Mailing address

13065 Old Tesson Ferry Rd
Saint Louis, MO 63128-3441
Phone (314) 629-7916

Other names 1

  • South County Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

13065 Old Tesson Ferry Rd
Saint Louis, MO 63128
Phone (314) 543-5222

Practitioners & affiliated clinicians

Practitioners 1

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": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1154556363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13065 OLD TESSON FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283441",
            "telephone_number": "314-629-7916",
            "fax_number": "636-489-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13065 OLD TESSON FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283441",
            "telephone_number": "314-629-7916",
            "fax_number": "636-489-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAM URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "AZFAR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "555-555-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MBA"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South County Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.