441 Urgent Care Center, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

441 URGENT CARE CENTER, LLC

Practice address

4669 E Sr 44 Ste 101
Wildwood, FL 34785-7460

Phone

(352) 693-2340

Fax

(352) 693-2345

NPI assigned

Feb 11, 2021

Organization subpart

Yes

Parent organization

441 URGENT CARE CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Adamastor A Santos

Title

Owner

Phone

(352) 693-2340

Specialties & licenses 1

Addresses

Other names 1

• 441 URGENT CARE CENTER, LLC (BROWNWOOD) Former legal business name

Tax ID family

441 Urgent Care Center LLC2 organizations share this tax ID, including this one

Part of

441 Urgent Care Center LLC

Other organizations with this tax ID 1

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

• 441 Urgent Care Center, LLC

  • Urgent Care Clinic/Center
  • The Villages, FL
  • NPI 1396338224
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18729/brand/1/csg/1/fhir/r4

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• 441 Urgent Care Center, LLC

  • Urgent Care Clinic/Center
  • Summerfield, FL
  • NPI 1770726838
  NPPES parent name

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1225620156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17820 SE 109TH AVE STE 108",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918968",
            "telephone_number": "352-693-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4669 E SR 44 STE 101",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347857460",
            "telephone_number": "352-693-2340",
            "fax_number": "352-693-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "441 URGENT CARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "441 URGENT CARE CENTER, LLC",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ADAMASTOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-693-2340"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "441 URGENT CARE CENTER, LLC (BROWNWOOD)",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Adventist Health System/Sunbelt Inc.
• Adventist Health System/Sunbelt, Inc

• All providers in Wildwood, FL
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.