Organization Active NPI

Community Urgent Care of Hartselle, Inc.

  • Family Medicine Physician
  • Hartselle, AL
National Provider Identifier
1154750073
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMUNITY URGENT CARE OF HARTSELLE, INC.
Doing business as
Community Urgent Care
Practice address
1635 Highway 31 NW
Hartselle, AL 35640-4426
Phone
(256) 773-0110
NPI assigned
Nov 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Mr. Jesse Orel Weatherly III
Title
Secretary/Treasurer
Phone
(256) 734-2977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1635 Highway 31 NW
Hartselle, AL 35640-4426

Mailing address

101 1St Ave NE
Suite 150
Cullman, AL 35055-2967
Phone (256) 734-2977

Other names 1

  • Community Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

1635 Highway 31 NW
Hartselle, AL 35640
Phone (256) 735-5965

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1154750073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 1ST AVE NE",
            "address_2": "SUITE 150",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350552967",
            "telephone_number": "256-734-2977",
            "fax_number": "888-298-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 HIGHWAY 31 NW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356404426",
            "telephone_number": "256-773-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY URGENT CARE OF HARTSELLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "WEATHERLY",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "OREL",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "256-734-2977",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartselle, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.