Rolla Urgent Care, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

ROLLA URGENT CARE, LLC

Practice address

1060 S Bishop Ave
Rolla, MO 65401-4411

Phone

(573) 426-5900

Fax

(573) 426-4466

NPI assigned

May 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Oluyomi Olusanya, MD

Title

Owner/del Official

Phone

(573) 426-5900

Specialties & licenses 3

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Rolla Urgent Care LLC

  • Internal Medicine Physician
  • Rolla, MO
  • NPI 1881819464
  NPPES parent name

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505347200000",
    "number": "1326099417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637020817",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 S BISHOP AVE",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014411",
            "telephone_number": "573-426-5900",
            "fax_number": "573-426-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLA URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2017-09-14",
        "status": "A",
        "authorized_official_last_name": "OLUSANYA",
        "authorized_official_first_name": "OLUYOMI",
        "authorized_official_title_or_position": "OWNER/DEL OFFICIAL",
        "authorized_official_telephone_number": "573-426-5900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2002009086",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "124268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rolla Radiology Group, LLC
• Rolla Residential, LLC
• Rolla Residential, LLC
• Rolla Surgical Clinic, LLC
• Rolla Urgent Care LLC
• Marie C Romer
• Romo Direct Primary Care, LLC
• Donald Jay Roshan Jr., DO
• Emma Rose Ross, PLMFT
• Allison Rowden, P.A.

• Rural Health Clinic/Center in Rolla, MO
• Providers in Rolla, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; 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.