NPIMap

Organization Active NPI

Wise Clinical Care Associates

  • Urgent Care Clinic/Center
  • Haslet, TX
National Provider Identifier
1386112506
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
WISE CLINICAL CARE ASSOCIATES
Practice address
2432 Avondale Haslet Rd Ste 100
Haslet, TX 76052-3446
Phone
(817) 500-9636
Fax
(817) 439-8107
NPI assigned
Nov 6, 2018
Last updated
Nov 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Brian Todd Scroggins
Title
Cfo
Phone
(940) 626-1228

Specialties & licenses 1

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

Addresses

Primary practice location

2432 Avondale Haslet Rd Ste 100
Haslet, TX 76052-3446

Mailing address

PO Box 2078
Decatur, TX 76234-6156
Phone (817) 500-9636

Other identifiers 2

IdentifierTypeStateIssuer
0047SHOtherTXBCBSTX
389084001MedicaidTX

Other names 1

  • Wise Clinical Care Associates - Urgent Care Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1386112506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2078",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762346156",
            "telephone_number": "817-500-9636",
            "fax_number": "817-439-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 AVONDALE HASLET RD STE 100",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760523446",
            "telephone_number": "817-500-9636",
            "fax_number": "817-439-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE CLINICAL CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "SCROGGINS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "940-626-1228"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "0047SH",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389084001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Clinical Care Associates - Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Haslet, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.