Organization Active NPI

Prime Care, Inc

  • Clinic/Center
  • Roanoke Rapids, NC
National Provider Identifier
1386778652
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
40586 Issued in NC
Legal business name
PRIME CARE, INC
Practice address
1261 Julian R Allsbrook Hwy
Roanoke Rapids, NC 27870-5127
Phone
(252) 537-5600
Fax
(252) 537-2375
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Logan McCall
Title
Administrator
Phone
(252) 537-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 40586 NC Primary

Addresses

Primary practice location

1261 Julian R Allsbrook Hwy
Roanoke Rapids, NC 27870-5127

Mailing address

1261 Julian R Allsbrook Hwy
Roanoke Rapids, NC 27870-5127
Phone (252) 537-5600

Other names 1

  • Prime Care Family Medical Center Other name

National Provider Directory

National Provider Directory

Locations

1261 Weldon Rd
Roanoke Rapids, NC 27870
Phone (252) 537-5600

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386778652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 JULIAN R ALLSBROOK HWY",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278705127",
            "telephone_number": "252-537-5600",
            "fax_number": "252-537-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 JULIAN R ALLSBROOK HWY",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278705127",
            "telephone_number": "252-537-5600",
            "fax_number": "252-537-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-537-5600"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "40586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Care Family Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.