NPIMap

Organization Active NPI

Stanly Medical Services

Doing business as Locust Urgent Care

  • Family Medicine Physician
  • Locust, NC
National Provider Identifier
1215274758
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STANLY MEDICAL SERVICES
Doing business as
Locust Urgent Care
Practice address
103 Stanly Pkwy
Suite C
Locust, NC 28097-7710
Phone
(704) 888-0580
Fax
(704) 781-0360
NPI assigned
Jan 3, 2013
Last updated
Jul 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Marindy Bost Harris
Title
Manager Revenue Cycle
Phone
(704) 983-7320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

103 Stanly Pkwy
Suite C
Locust, NC 28097-7710

Mailing address

320 Yadkin St
Suite B
Albemarle, NC 28001-3447
Phone (704) 983-7320

Other names 1

  • Locust Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stanly Medical Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1215274758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 YADKIN ST",
            "address_2": "SUITE B",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013447",
            "telephone_number": "704-983-7320",
            "fax_number": "704-983-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 STANLY PKWY",
            "address_2": "SUITE C",
            "city": "LOCUST",
            "state": "NC",
            "postal_code": "280977710",
            "telephone_number": "704-888-0580",
            "fax_number": "704-781-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARINDY",
        "authorized_official_middle_name": "BOST",
        "authorized_official_title_or_position": "MANAGER REVENUE CYCLE",
        "authorized_official_telephone_number": "704-983-7320"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Locust Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Locust, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.