Organization Active NPI

Incare Healthcare Inc

  • Urgent Care Clinic/Center
  • Delta, CO
National Provider Identifier
1326378704
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
INCARE HEALTHCARE INC
Practice address
164 W 3Rd St
Delta, CO 81416-1842
Phone
(970) 874-9977
Fax
(970) 874-9952
NPI assigned
Jan 6, 2010
Last updated
Jan 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Mr. Grant Revere Bynum, M.B.A
Title
Owner
Phone
(214) 492-9791

Specialties & licenses 1

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

Addresses

Primary practice location

164 W 3Rd St
Delta, CO 81416-1842

Mailing address

6505 W Park Blvd
Ste 306-167
Plano, TX 75093-6208
Phone (214) 492-9791

National Provider Directory

National Provider Directory

Locations

6505 W Park Blvd
Ste 306167
Plano, TX 75093

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1326378704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 W PARK BLVD",
            "address_2": "STE 306-167",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936208",
            "telephone_number": "214-492-9791",
            "fax_number": "970-712-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W 3RD ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161842",
            "telephone_number": "970-874-9977",
            "fax_number": "970-874-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCARE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "REVERE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-492-9791",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.