Organization Active NPI

Ur Health, LLC

  • Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1265260632
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UR HEALTH, LLC
Practice address
1241 W Tharpe St Ste C01
Tallahassee, FL 32303-4661
Phone
(850) 778-7454
Fax
(850) 745-2613
NPI assigned
Jul 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Davarrio Chavers
Title
Administrator
Phone
(850) 778-7454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1241 W Tharpe St Ste C01
Tallahassee, FL 32303-4661

Mailing address

645 Hutchinson Ferry Rd
Bainbridge, GA 39819-6320

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
10D2298608Ur Health LLC1241 W Tharpe St Ste C01, Tallahassee, FL 32303Certificate of waiverFeb 4, 2028

National Provider Directory

National Provider Directory

Locations

1241 W Tharpe St
Ste C1
Tallahassee, FL 32303
Phone (850) 778-7454

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1265260632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 HUTCHINSON FERRY RD",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398196320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 W THARPE ST STE C01",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034661",
            "telephone_number": "850-778-7454",
            "fax_number": "850-745-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UR HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "CHAVERS",
        "authorized_official_first_name": "DAVARRIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-778-7454"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.