Organization Active NPI

Quick Care Urgent, LLC

  • Urgent Care Clinic/Center
  • Huntsville, AL
National Provider Identifier
1356764070
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
12445 Issued in AL
Legal business name
QUICK CARE URGENT, LLC
Practice address
202 Governors Dr SE
Huntsville, AL 35801-2745
Phone
(256) 517-8317
NPI assigned
Jan 31, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Brett EnabnitNPI 1649480021
Title
Owner
Phone
(256) 990-3267

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

Practitioners 38

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

View all 38

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
01D2074395Quick Care Urgent202 Governors Drive, Huntsville, AL 35801Certificate of waiverMay 21, 2027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140423002061 AL Part B Supplier - Clinic/Group Practice 9032342258 Receives reassigned benefits from 31 practitioners
Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 12445 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

202 Governors Dr SE
Huntsville, AL 35801-2745

Mailing address

202 Governors Dr SE
Huntsville, AL 35801-2745
Phone (256) 517-8317

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 14, 2014.

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1356764070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 GOVERNORS DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358012745",
            "telephone_number": "256-517-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 GOVERNORS DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358012745",
            "telephone_number": "256-517-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK CARE URGENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "ENABNIT",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-990-3267"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AL",
            "license": "12445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.