Organization Active NPI

West Primary-Urgent Care, PLLC

  • Primary Care Clinic/Center
  • Pembroke, NC
National Provider Identifier
1346270642
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
105305 Issued in NC
Legal business name
WEST PRIMARY-URGENT CARE, PLLC
Practice address
923 W 3Rd St
Pembroke, NC 28372-9684
Phone
(910) 522-8888
Fax
(910) 522-6688
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Authorized official

Name
Mr. James Earl West, MDNPI 1891794384
Title
Owner
Phone
(910) 522-8888

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
Primary Care Clinic/Center 261QP2300X 105305 NC Primary

Addresses

Primary practice location

923 W 3Rd St
Pembroke, NC 28372-9684

Mailing address

923 W 3Rd St
Pembroke, NC 28372-9684
Phone (910) 522-8888

Other identifiers 2

IdentifierTypeStateIssuer
012TVOtherNCBCBS OF NC GROUP #
89012TVMedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1346270642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 W 3RD ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729684",
            "telephone_number": "910-522-8888",
            "fax_number": "910-522-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 W 3RD ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729684",
            "telephone_number": "910-522-8888",
            "fax_number": "910-522-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PRIMARY-URGENT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-522-8888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "105305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC GROUP #",
            "identifier": "012TV",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012TV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.