Organization Active NPI

Urgent Care Medical Clinic, PC

  • Clinic/Center
  • Anchorage, AK
National Provider Identifier
1356789366
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
242636 Issued in AK
Legal business name
URGENT CARE MEDICAL CLINIC, PC
Practice address
5437 E Northern Lights Blvd
Anchorage, AK 99508-4712
Phone
(907) 333-8561
Fax
(907) 333-8560
NPI assigned
Jun 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Joseph E Beaty
Title
Billing Agent
Phone
(907) 770-2380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 242636 AK Primary

Addresses

Primary practice location

5437 E Northern Lights Blvd
Anchorage, AK 99508-4712

Mailing address

9150 Jewel Lake Rd
Suite B
Anchorage, AK 99502-5381
Phone (907) 248-8561

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318001007 AK Part B Supplier - Clinic/Group Practice 8123918513 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Anchorage, AK

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5437 E Northern Lights Blvd
Ste 1
Anchorage, AK 99508
Phone (907) 333-8561

5437 E Northern Lights Blvd
Anchorage, AK 99508
Phone (907) 333-8561

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": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1356789366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 JEWEL LAKE RD",
            "address_2": "SUITE B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995025381",
            "telephone_number": "907-248-8561",
            "fax_number": "907-248-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5437 E NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084712",
            "telephone_number": "907-333-8561",
            "fax_number": "907-333-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE MEDICAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "907-770-2380"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AK",
            "license": "242636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.