Organization Active NPI

Medcare Urgent Care Spartanburg, LLC

  • Urgent Care Clinic/Center
  • Spartanburg, SC
National Provider Identifier
1306244348
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDCARE URGENT CARE SPARTANBURG, LLC
Practice address
301 E Wood Street
Spartanburg, SC 29303
Phone
(843) 576-5246
NPI assigned
Dec 8, 2014
Organization subpart
Yes
Parent organization
MEDCARE URGENT CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Authorized official

Name
Joseph Pawlik, M.D.
Title
Coo
Phone
(843) 576-5246

Specialties & licenses 1

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

Addresses

Primary practice location

301 E Wood Street
Spartanburg, SC 29303

Mailing address

1850 Sam Rittenberg Blvd.
Charleston, SC 29407
Phone (843) 576-5246

Other identifiers 1

IdentifierTypeStateIssuer
GP5210MedicaidSC

Other names 1

  • Medcare Urgent Care Doing business as

National Provider Directory

National Provider Directory
Part of
Medcare Express - North Charleston LLC

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1306244348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SAM RITTENBERG BLVD.",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29407",
            "telephone_number": "843-576-5246",
            "fax_number": "843-576-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E WOOD STREET",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29303",
            "telephone_number": "843-576-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE URGENT CARE SPARTANBURG, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDCARE URGENT CARE",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "PAWLIK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "843-576-5246",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5210",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medcare Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.