NPIMap

Organization Active NPI

Maine Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Lewiston, ME
National Provider Identifier
1154988707
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MAINE URGENT CARE, LLC
Practice address
685 Sabattus Street
Lewiston, ME 04240-0000
Phone
(207) 795-5050
Fax
(207) 795-5049
NPI assigned
May 20, 2019
Last updated
May 20, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
MAINE URGENT CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Authorized official

Name
Kimberly J Frock
Title
Contracting & Credentialing Special
Phone
(605) 789-6661

Specialties & licenses 1

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

Addresses

Primary practice location

685 Sabattus Street
Lewiston, ME 04240-0000

Mailing address

101 S Phillips Ave Ste 300
Sioux Falls, SD 57104-6719
Phone (605) 789-6661

National Provider Directory

National Provider Directory
Part of
Maine Urgent Care LLC

Locations

105 Topsham Fair Mall Rd
Unit 8
Topsham, ME 04086
Phone (207) 798-6300

101 S Phillips Ave
Ste 300
Sioux Falls, SD 57104
Phone (605) 789-6661

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1154988707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S PHILLIPS AVE STE 300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571046719",
            "telephone_number": "605-789-6661",
            "fax_number": "417-429-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 SABATTUS STREET",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042400000",
            "telephone_number": "207-795-5050",
            "fax_number": "207-795-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE URGENT CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAINE URGENT CARE, LLC",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "FROCK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CONTRACTING & CREDENTIALING SPECIAL",
        "authorized_official_telephone_number": "605-789-6661"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.