Southern Clinics and Urgent Care, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

102847 Issued in NC

Legal business name

SOUTHERN CLINICS AND URGENT CARE, PA

Practice address

812 W Innes St
Salisbury, NC 28144-4152

Phone

(704) 637-5544

Fax

(704) 637-1989

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Tara Lynn Thornton

Title

Billing Manager

Phone

(704) 865-2755

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1275673097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550490",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280550490",
            "telephone_number": "704-865-2755",
            "fax_number": "704-865-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444152",
            "telephone_number": "704-637-5544",
            "fax_number": "704-637-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CLINICS AND URGENT CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "704-865-2755"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "102847",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "009600205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012X5",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.