Rural Urgent Care LLC
Organization Active NPI Urgent Care Clinic/Center · Live Oak, FL
NPI 1215650718 · NPPES record last updated Mar 20, 2026
Key facts
- NPI
- 1215650718
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- RURAL URGENT CARE LLC
- Practice address
- 1702 Ohio Ave. N
Live Oak, FL 32064 - Phone
- (205) 545-5085
- NPI assigned
- Sep 21, 2022
- Organization subpart
- No
Authorized official
- Name
- Krista Rock
- Title
- VP
- Phone
- (205) 545-5090
Owned or controlled facilities with NPI records 4
Other NPIs with the same Medicare PAC ID 20
Practitioners 171
-
Stacie Eleese Allington, APRN
-
Natalia Andrea Boquin, FNP-C
-
Sharon Bruce, PAC
-
Doneshia Mackey Cadet, APRN, FNP-BC
-
Cheila Mayeni Castilla, DNP, APRN, FNP-BC
-
Jessica Luckado Caveny, PA-C
-
Jamie Ann Centrone, FNP-BC
-
Tammy Lee Daniel, APRN
-
Tonya Lynn Freeman, ARNP
-
Linda Louise Heilman, ARNP
-
Jennifer Renee' Helsel, FNP-BC APRN
-
Kerri Hesselrode, FNP-C
-
Maria Wright Hobbs, MSN, FNP-C
-
Nicole Vanessa Lembovski, APRN
-
Brookes McClellan, ARNP
-
Beth Ann-Pontius Moore, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2270062 | Rural Urgent Care, LLC | Certificate of waiver | Oct 6, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Mainstreet Family Care - Forest City |
Rural health clinic | Operational/Managerial Control (100%) | Apr 15, 2021 |
| Mainstreet Family Care - Oxford |
Rural health clinic | Operational/Managerial Control (100%) | Apr 15, 2021 |
| Mainstreet Family Care - Liberty |
Rural health clinic | Operational/Managerial Control (100%) | Apr 15, 2021 |
| Mainstreet Family Care - Tarboro |
Rural health clinic | Operational/Managerial Control (100%) | Apr 15, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230330001678 | FL | DME Supplier - Physician - Family Practice | 8820305600 | Practice locations: Live Oak, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
1702 Ohio Ave. N
Live Oak, FL 32064
Mailing address
1500 1St Ave N Unit 3
Birmingham, AL 35203-1866
Other names
- MainStreet Family Care
Other providers in Live Oak, FL
- Patricia Robinson
- Teri Roessler-Kennedy
- Stephen Charles Romagnolo
- Heather Dee Romano
- Eduardo Gustavo Romero
- Yoira Sanchez
- Frederick Sanders
- Antoinette E Sapp
- Rebecca Ann Sapp
- James Clayton Senea Jr.
All providers in Live Oak, FL · Urgent Care Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.