Active NPI
American Current Care PA
- Urgent Care Clinic/Center
- Portland, ME
National Provider Identifier
1295911295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- AMERICAN CURRENT CARE PA
- Practice address
- 1600 Congress Street
Portland, ME 04102-2124 - Phone
- (207) 774-7751
- Fax
- (207) 828-5140
- NPI assigned
- Jan 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tom Fogarty, M.D.
- Title
- Senior VP / Chief Medical Officer
- Phone
- (972) 364-8103
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
1600 Congress Street
Portland, ME 04102-2124
Mailing address
5080 Spectrum Drive
Suite 1200 West Tower
Addison, TX 75001-4648
Phone (800) 232-3550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090402000545 | ME | Part B Supplier - Clinic/Group Practice | 9739260019 |
Receives reassigned benefits from 29 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Augusta, ME; Bangor, ME; Brunswick, ME; Lewiston, ME; Oxford, ME; South Portland, ME |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Urgent Care Clinic/Center
- South Portland, ME
- NPI 1053680876
O20090402000545
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280707200000",
"number": "1295911295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5080 SPECTRUM DRIVE",
"address_2": "SUITE 1200 WEST TOWER",
"city": "ADDISON",
"state": "TX",
"postal_code": "750014648",
"telephone_number": "800-232-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CONGRESS STREET",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022124",
"telephone_number": "207-774-7751",
"fax_number": "207-828-5140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN CURRENT CARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-21",
"last_updated": "2010-08-02",
"status": "A",
"authorized_official_last_name": "FOGARTY",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "SENIOR VP / CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "972-364-8103",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.