Active NPI
Incare Healthcare Inc
- Urgent Care Clinic/Center
- Delta, CO
National Provider Identifier
1326378704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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, 2010
- 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
- Mr. Grant Revere Bynum, M.B.A
- Title
- Owner
- Phone
- (214) 492-9791
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.