Champaign-Urbana Healthcare LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

03606913 Issued in IL

Legal business name

CHAMPAIGN-URBANA HEALTHCARE LLC

Practice address

631 E Green St
Champaign, IL 61820-5701

Phone

(217) 344-9909

Fax

(217) 903-3941

NPI assigned

Aug 28, 2014

Organization subpart

No

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

Authorized official

Name

Candy Dixon

Title

Office Manager

Phone

(217) 344-9909

Specialties & licenses 1

Addresses

Other names 1

• CampusTown Urgent Care LLC Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Christa Lynne Metzelaars, NP-C

  • Family Nurse Practitioner
  • Mattoon, IL
  • NPI 1194270603
  NPD (past)
• Christina L. Clancy, C.N.P.

  • Nurse Practitioner
  • Lake Geneva, WI
  • NPI 1679017925
  NPD (past)

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1285034157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 E GREEN ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205701",
            "telephone_number": "217-344-9909",
            "fax_number": "217-903-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 E GREEN ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205701",
            "telephone_number": "217-344-9909",
            "fax_number": "217-903-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPAIGN-URBANA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "CANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "217-344-9909"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IL",
            "license": "03606913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CampusTown Urgent Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Champaign Urbana Public Health Department
• Champaign Urbana Public Health Department
• Champaign Urbana Public Health Department
• Champaign Urbana Public Health District
• Champaign Urbana Public Health District
• Ann Lucia Chan, LCPC, LCSW
• Carly Chandler
• Jennifer L Chandler
• Kessie Chandler, PA
• Jie Si Chang

• Urgent Care Clinic/Center in Champaign, IL
• Providers in Champaign, IL by specialty
• Urgent Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.