Organization Active NPI

Visiting Nurse Association Mobile Clinic Inc

  • Urgent Care Clinic/Center
  • Stuart, FL
National Provider Identifier
1407020225
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
VISITING NURSE ASSOCIATION MOBILE CLINIC INC
Practice address
2400 SE Monterey Rd
Suite 300
Stuart, FL 34996-3351
Phone
(772) 286-1844
Fax
(772) 286-0738
NPI assigned
Apr 14, 2008
Last updated
Nov 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Mr. Donald R Crow
Title
President
Phone
(772) 286-1844

Specialties & licenses 1

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

Addresses

Primary practice location

2400 SE Monterey Rd
Suite 300
Stuart, FL 34996-3351

Mailing address

2400 SE Monterey Rd
Suite 300
Stuart, FL 34996-3351
Phone (772) 286-1844

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
10D1055617Visiting Nurse Association Mobile Clinic Inc2400 SE Monterey Rd Suite 300, Stuart, FL 34996Certificate of waiverJun 21, 2028

National Provider Directory

National Provider Directory

Locations

2400 SE Monterey Rd
Ste 300
Stuart, FL 34996
Phone (772) 286-1844

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1407020225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SE MONTEREY RD",
            "address_2": "SUITE 300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963351",
            "telephone_number": "772-286-1844",
            "fax_number": "772-286-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SE MONTEREY RD",
            "address_2": "SUITE 300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963351",
            "telephone_number": "772-286-1844",
            "fax_number": "772-286-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION MOBILE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "CROW",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-286-1844",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.