NPIMap

Organization Active NPI

Mainline Urgent Care Medical Group P.C

Doing business as ExpressCare of Red Lion, LLC

  • Urgent Care Clinic/Center
  • Red Lion, PA
National Provider Identifier
1275993495
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
MD442240 Issued in PA
Legal business name
MAINLINE URGENT CARE MEDICAL GROUP P.C
Doing business as
ExpressCare of Red Lion, LLC
Practice address
3193 Cape Horn Rd
Red Lion, PA 17356-8810
Phone
(610) 482-4949
NPI assigned
Mar 1, 2016
Last updated
Jan 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Dr. Maurice Nathaniel Reid, M.D.NPI 1679573687
Title
Ceo/MD
Phone
(410) 420-6970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X MD442240 PA Primary

Addresses

Primary practice location

3193 Cape Horn Rd
Red Lion, PA 17356-8810

Mailing address

1505 E Churchville Rd
Bel Air, MD 21014-4742
Phone (410) 420-6970

Other identifiers 1

IdentifierTypeStateIssuer
102867981-0002MedicaidPA

Other names 1

  • ExpressCare of Red Lion, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1275993495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 E CHURCHVILLE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144742",
            "telephone_number": "410-420-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 CAPE HORN RD",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173568810",
            "telephone_number": "610-482-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINLINE URGENT CARE MEDICAL GROUP P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "CEO/MD",
        "authorized_official_telephone_number": "410-420-6970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "PA",
            "license": "MD442240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102867981-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ExpressCare of Red Lion, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Lion, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.