Lakeview Urgent Care and Family Clinic, Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

LAKEVIEW URGENT CARE AND FAMILY CLINIC, INC.

Practice address

3622 N Main St
Hope Mills, NC 28348-1937

Phone

(910) 423-7771

Fax

(910) 423-4177

NPI assigned

May 18, 2006

Last updated

Jul 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ingrid Y Payne, COO

Title

Chief Operation Officer

Phone

(910) 323-1481

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1285687491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 N MAIN ST",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481937",
            "telephone_number": "910-423-7771",
            "fax_number": "910-423-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 N MAIN ST",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481937",
            "telephone_number": "910-423-7771",
            "fax_number": "910-423-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW URGENT CARE AND FAMILY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CHIEF OPERATION OFFICER",
        "authorized_official_telephone_number": "910-323-1481",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP NUMBER",
            "identifier": "012YE",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012YE",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Hope Mills, NC
• Providers in Hope Mills, NC by specialty
• Urgent Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.