NPIMap

Organization Active NPI

Communitymed Urgent Care System, LLC

  • Urgent Care Clinic/Center
  • Melissa, TX
National Provider Identifier
1215359674
Registry record updated Jan 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
COMMUNITYMED URGENT CARE SYSTEM, LLC
Practice address
3591 McKinney St
Suite 200
Melissa, TX 75454-9571
Phone
(972) 464-1611
Fax
(972) 464-1611
NPI assigned
Jan 19, 2014
Last updated
Jan 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2014

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

Authorized official

Name
Mr. Birken Olson
Title
Ceo
Phone
(972) 523-4973

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

3591 McKinney St
Suite 200
Melissa, TX 75454-9571

Mailing address

16775 Addison Rd Ste 615
Addison, TX 75001-5630
Phone (972) 464-1611

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390089600000",
    "number": "1215359674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16775 ADDISON RD STE 615",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015630",
            "telephone_number": "972-464-1611",
            "fax_number": "972-464-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3591 MCKINNEY ST",
            "address_2": "SUITE 200",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754549571",
            "telephone_number": "972-464-1611",
            "fax_number": "972-464-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITYMED URGENT CARE SYSTEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-19",
        "last_updated": "2014-01-19",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "BIRKEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-523-4973",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melissa, TX

Sources for this page

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