Organization Active NPI

Gold Cross Urgent Care, LLC

Doing business as Gold Cross Family Clinic

  • Family Medicine Physician
  • Junction City, AR
National Provider Identifier
1235633793
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-8288 Issued in AR
Legal business name
GOLD CROSS URGENT CARE, LLC
Doing business as
Gold Cross Family Clinic
Practice address
500 N Main St
Junction City, AR 71749-9597
Phone
(870) 862-2331
NPI assigned
Mar 20, 2018
Last updated
Mar 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Ezinne Charity Nwude, MDNPI 1710273891
Title
Owner
Phone
(870) 862-2331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-8288 AR Primary

Addresses

Primary practice location

500 N Main St
Junction City, AR 71749-9597

Mailing address

500 N Main St
Junction City, AR 71749-9597
Phone (870) 862-2331

Other names 1

  • Gold Cross Family Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150921000254 AR Part B Supplier - Clinic/Group Practice 3173830304 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: El Dorado, AR; Junction City, AR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2154013Gold Cross Family Clinic500 N Main, Junction City, AR 71749Certificate of waiverOct 23, 2027

National Provider Directory

National Provider Directory

Locations

425 W Oak St
El Dorado, AR 71730
Phone (870) 862-2331

500 N Main St
Junction City, AR 71749
Phone (870) 862-2331

Practitioners & affiliated clinicians

Practitioners 9

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": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1235633793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST",
            "city": "JUNCTION CITY",
            "state": "AR",
            "postal_code": "717499597",
            "telephone_number": "870-862-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST",
            "city": "JUNCTION CITY",
            "state": "AR",
            "postal_code": "717499597",
            "telephone_number": "870-862-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD CROSS URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "NWUDE",
        "authorized_official_first_name": "EZINNE",
        "authorized_official_middle_name": "CHARITY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-862-2331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-8288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold Cross Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Junction City, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.