Organization Active NPI

North Jackson Urgent Care LLC

  • Urgent Care Clinic/Center
  • Stevenson, AL
National Provider Identifier
1164859138
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
NORTH JACKSON URGENT CARE LLC
Practice address
42950 U.S. Highway 72
Stevenson, AL 35772
Phone
(256) 437-1020
Fax
(256) 437-1047
NPI assigned
Oct 4, 2013
Last updated
Oct 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Lonnie Albin, M.D.
Title
CMD Chief Medical Director
Phone
(256) 218-3818

Specialties & licenses 1

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

Addresses

Primary practice location

42950 U.S. Highway 72
Stevenson, AL 35772

Mailing address

P.O. Box 1050
Scottsboro, AL 35768
Phone (256) 437-1020

National Provider Directory

National Provider Directory

Locations

42950 US Highway 72
Stevenson, AL 35772
Phone (256) 437-1020

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1164859138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1050",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "35768",
            "telephone_number": "256-437-1020",
            "fax_number": "256-437-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42950 U.S. HIGHWAY 72",
            "city": "STEVENSON",
            "state": "AL",
            "postal_code": "35772",
            "telephone_number": "256-437-1020",
            "fax_number": "256-437-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JACKSON URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "ALBIN",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "CMD CHIEF MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "256-218-3818",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevenson, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.