NPIMap

Organization Active NPI

Boss Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Raleigh, NC
National Provider Identifier
1194051870
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BOSS URGENT CARE PLLC
Practice address
4450 Fayetteville Rd
Raleigh, NC 27603-3612
Phone
(919) 567-3139
Fax
(919) 586-0933
NPI assigned
Oct 30, 2009
Last updated
Oct 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Authorized official

Name
Brenda Buck
Title
Office Manager
Phone
(910) 577-1555

Specialties & licenses 1

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

Addresses

Primary practice location

4450 Fayetteville Rd
Raleigh, NC 27603-3612

Mailing address

PO Box 579
Fuquay Varina, NC 27526-0579
Phone (919) 567-3139

Other identifiers 1

IdentifierTypeStateIssuer
1497080220OtherNCGROUP NPI

National Provider Directory

National Provider Directory
Tax ID family
Boss Urgent Care PLLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

4450 Fayetteville Rd
Raleigh, NC 27603
Phone (919) 572-3154

NPI Registry JSON

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1194051870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275260579",
            "telephone_number": "919-567-3139",
            "fax_number": "919-586-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 FAYETTEVILLE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033612",
            "telephone_number": "919-567-3139",
            "fax_number": "919-586-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSS URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-577-1555"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1497080220",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.