NPIMap

Organization Active NPI

Town Center Urgent Care LLC

  • Rural Health Clinic/Center
  • Grundy, VA
National Provider Identifier
1184584203
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
TOWN CENTER URGENT CARE LLC
Practice address
1107 Riverview St
Grundy, VA 24614-9481
Phone
(276) 244-1557
NPI assigned
Nov 12, 2025
Organization subpart
Yes
Parent organization
TOWN CENTER URGENT CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Kayla Briana Cline
Title
Ao
Phone
(276) 385-1183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1107 Riverview St
Grundy, VA 24614-9481

Mailing address

1107 Riverview St
Grundy, VA 24614-9481
Phone (276) 244-1557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250426000152 VA Part A Provider - Rural Health Clinic 0547529547 1 other NPI on this enrollment
Practice locations: Grundy, VA

Rural health clinic certification: CCN 493878

Legal name
TOWN CENTER URGENT CARE LLC
Doing business as
ULTRA HEALTH GRUNDY
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 17, 2025
Last certification
Jun 17, 2025
Ownership / control type
1A
Organization structure
LLCProprietary
Enrollment address
1107 Riverview St
Grundy, VA 24614-9481

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Town Center Urgent Care LLC5 organizations share this tax ID, including this one
Part of
Town Center Urgent Care LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeffery H Taylor Individual 5% Or Greater Direct Ownership Interest Jan 4, 2018 50%
Corporate OfficerPresident Jul 13, 2017 50%
Operational/Managerial Control Jul 13, 2017 100%
Ultra Health Services LLC Organization, Cedar Bluff, VA LLC 5% Or Greater Direct Ownership Interest Jan 4, 2018
Operational/Managerial Control Jan 4, 2018 100%
Stanford T Mullins Individual 5% Or Greater Direct Ownership Interest Jul 13, 2017 50%
Corporate OfficerSecretary/Treasurer Jul 13, 2017 50%
Nicholas Harman Individual W-2 Managing EmployeeMD; Nov 3, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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.

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1184584203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 RIVERVIEW ST",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246149481",
            "telephone_number": "276-244-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 RIVERVIEW ST",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246149481",
            "telephone_number": "276-244-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN CENTER URGENT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN CENTER URGENT CARE LLC",
        "enumeration_date": "2025-11-12",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "BRIANA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "276-385-1183"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grundy, VA

Sources for this page

Verify at the official NPI Registry.