NPIMap

Organization Active NPI

Tower Health Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Villanova, PA
National Provider Identifier
1366919243
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TOWER HEALTH URGENT CARE, LLC
Practice address
Tower Health Urgent Care, LLC
635 Conestoga Road
Villanova, PA 19085-1302
Phone
(610) 710-4444
Fax
(610) 710-4440
NPI assigned
Oct 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Mr. Gary Conner, VP & CFO
Title
Vice President
Phone
(484) 628-8790

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

Tower Health Urgent Care, LLC
635 Conestoga Road
Villanova, PA 19085-1302

Mailing address

Tower Health Urgent Care, LLC
10050 Roosevelt Blvd Suite 2
Philadelphia, PA 19116-3956
Phone (215) 552-2818

Other identifiers 2

IdentifierTypeStateIssuer
4171047OtherPAHIGHMARK BCBS
103575918-0016MedicaidPA

Other names 1

  • Tower Health Urgent Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Tower Health Urgent Care6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

635 Conestoga Rd
Villanova, PA 19085
Phone (610) 710-4444

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1366919243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TOWER HEALTH URGENT CARE, LLC",
            "address_2": "10050 ROOSEVELT BLVD SUITE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163956",
            "telephone_number": "215-552-2818",
            "fax_number": "484-713-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TOWER HEALTH URGENT CARE, LLC",
            "address_2": "635 CONESTOGA ROAD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851302",
            "telephone_number": "610-710-4444",
            "fax_number": "610-710-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER HEALTH URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "484-628-8790",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "VP & CFO"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "4171047",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103575918-0016",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tower Health Urgent Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Tower Health Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Villanova, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.