NPIMap

Organization Active NPI

Urgent Cares of America North Carolina Inc

Doing business as Fastmed Urgent Care of Winston-Salem - S. Stratford

  • Non-Pharmacy Dispensing Site
  • Winston Salem, NC
National Provider Identifier
1194062406
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
103225 Issued in NC
Legal business name
URGENT CARES OF AMERICA NORTH CAROLINA INC
Doing business as
Fastmed Urgent Care of Winston-Salem - S. Stratford
Practice address
310 S Stratford Rd
120
Winston Salem, NC 27103-1820
Phone
(336) 714-5399
NPI assigned
Jan 7, 2013
Last updated
Sep 19, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDVANTX, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Kenny Heine
Title
VP Ops
Phone
(858) 964-1506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 103225 NC Primary

Addresses

Primary practice location

310 S Stratford Rd
120
Winston Salem, NC 27103-1820

Mailing address

5626 Oberlin Dr
110
San Diego, CA 92121-1705

Other names 1

  • FASTMED URGENT CARE OF WINSTON-SALEM - S. STRATFORD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Urgent Cares of America NC Inc85 organizations share this tax ID, including this one
Part of
Medvantx Inc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1194062406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S STRATFORD RD",
            "address_2": "120",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031820",
            "telephone_number": "336-714-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARES OF AMERICA NORTH CAROLINA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2013-01-07",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OPS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NC",
            "license": "103225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FASTMED URGENT CARE OF WINSTON-SALEM - S. STRATFORD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.