NPIMap

Organization Active NPI

Cross Creek Urgent Care and Family Clinic

  • Military Health Care Provider
  • Fayetteville, NC
National Provider Identifier
1174581235
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Health Care ProviderTaxonomy code 171000000X
Legal business name
CROSS CREEK URGENT CARE AND FAMILY CLINIC
Practice address
726 Ramsey St
Suite 8
Fayetteville, NC 28301-4705
Phone
(910) 221-2200
Fax
(910) 221-2201
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Glenn Martin Stanley Sr., PA CNPI 1770570822
Title
President
Phone
(910) 221-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care ProviderGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171000000X Primary

Addresses

Primary practice location

726 Ramsey St
Suite 8
Fayetteville, NC 28301-4705

Mailing address

726 Ramsey St
Suite 8
Fayetteville, NC 28301-4705
Phone (910) 221-2200

Other identifiers 1

IdentifierTypeStateIssuer
89015KHMedicaidNC

National Provider Directory

National Provider Directory

Locations

726 Ramsey St
Ste 8
Fayetteville, NC 28301
Phone (910) 221-2200

Practitioners & affiliated clinicians

Practitioners 9

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": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174581235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 RAMSEY ST",
            "address_2": "SUITE 8",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014705",
            "telephone_number": "910-221-2200",
            "fax_number": "910-221-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 RAMSEY ST",
            "address_2": "SUITE 8",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014705",
            "telephone_number": "910-221-2200",
            "fax_number": "910-221-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS CREEK URGENT CARE AND FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-221-2200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PA C"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015KH",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.