NPIMap

Organization Active NPI

Urgent Care Down East Inc

  • Urgent Care Clinic/Center
  • Washington, NC
National Provider Identifier
1154721272
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
URGENT CARE DOWN EAST INC
Practice address
853 Washington Square Mall
Washington, NC 27889-3530
Phone
(252) 623-2000
Fax
(877) 559-4667
NPI assigned
Aug 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Rachel Gardner
Title
Owner
Phone
(252) 623-2000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Primary Care Clinic/Center 261QP2300X 2010-00811 NC
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

853 Washington Square Mall
Washington, NC 27889-3530

Mailing address

1412 Carolina Ave
Washington, NC 27889-3314
Phone (252) 623-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141229000010 NC Part B Supplier - Clinic/Group Practice 5395068332 Receives reassigned benefits from 18 practitioners
Practice locations: Greenville, NC; Washington, NC
O20200729001108 NC DME Supplier - Physician - Family Practice 5395068332 Practice locations: Washington, NC

National Provider Directory

National Provider Directory

Locations

853 Washington Square Mall
Washington, NC 27889
Phone (252) 623-2000

1412 Carolina Ave
Washington, NC 27889
Phone (252) 623-2000

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1154721272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 CAROLINA AVE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893314",
            "telephone_number": "252-623-2000",
            "fax_number": "877-559-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 WASHINGTON SQUARE MALL",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893530",
            "telephone_number": "252-623-2000",
            "fax_number": "877-559-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE DOWN EAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-623-2000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "2010-00811",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.