Organization Active NPI

Fastdoc Urgent Care Centers of Missouri LLC

Doing business as FastDoc Urgent Care

  • Urgent Care Clinic/Center
  • Marshfield, MO
National Provider Identifier
1316733603
Registry record updated Nov 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FASTDOC URGENT CARE CENTERS OF MISSOURI LLC
Doing business as
FastDoc Urgent Care
Practice address
1350 Spur Dr Ste 230
Marshfield, MO 65706-2196
Phone
(760) 382-0827
Fax
(214) 785-7606
NPI assigned
Apr 15, 2025
Last updated
Nov 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2025

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

Authorized official

Name
Jurry E. Van Ark, PA-CNPI 1881688471
Title
Owner
Phone
(417) 630-0082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1350 Spur Dr Ste 230
Marshfield, MO 65706-2196

Mailing address

325 Central Expy S
Allen, TX 75013-2786
Phone (417) 630-0082

Other names 1

  • FastDoc Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250719000096 MO Part B Supplier - Clinic/Group Practice 7113433962 Receives reassigned benefits from 8 practitioners
Practice locations: Marshfield, MO

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2325213Fastdoc Urgent Care, Marshfield1350 Spur Dr, Suite 230, Marshfield, MO 65706Certificate of waiverJun 8, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763856000000",
    "number": "1316733603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CENTRAL EXPY S",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132786",
            "telephone_number": "417-630-0082",
            "fax_number": "417-630-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SPUR DR STE 230",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657062196",
            "telephone_number": "760-382-0827",
            "fax_number": "214-785-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTDOC URGENT CARE CENTERS OF MISSOURI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-11-23",
        "certification_date": "2025-11-23",
        "status": "A",
        "authorized_official_last_name": "VAN ARK",
        "authorized_official_first_name": "JURRY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-630-0082",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FastDoc Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FastDoc Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.