Organization Active NPI

Medaccess Urgent Care, PLLC

  • Primary Care Clinic/Center
  • Youngsville, NC
National Provider Identifier
1205230430
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MEDACCESS URGENT CARE, PLLC
Practice address
700 US 1 Hwy
Ste 100
Youngsville, NC 27596-7872
Phone
(919) 562-2340
Fax
(919) 562-2315
NPI assigned
Oct 17, 2014
Last updated
Oct 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Mr. Kurt Stalnaker, MBA
Title
Coo
Phone
(919) 641-2046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

700 US 1 Hwy
Ste 100
Youngsville, NC 27596-7872

Mailing address

PO Box 1811
Roxboro, NC 27573-1811
Phone (336) 330-0400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1205230430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1811",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275731811",
            "telephone_number": "336-330-0400",
            "fax_number": "336-330-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 US 1 HWY",
            "address_2": "STE 100",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275967872",
            "telephone_number": "919-562-2340",
            "fax_number": "919-562-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDACCESS URGENT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "STALNAKER",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "919-641-2046",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.