NPIMap

Organization Active NPI

Quality Urgent Care Professional Corporation

  • Urgent Care Clinic/Center
  • Boulder, CO
National Provider Identifier
1417550591
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
QUALITY URGENT CARE PROFESSIONAL CORPORATION
Practice address
2795 Pearl St Ste 106
Boulder, CO 80302-3826
Phone
(720) 961-9700
NPI assigned
Nov 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Brittany Michelle AmackerNPI 1073872628
Title
NP
Phone
(901) 896-4046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2795 Pearl St Ste 106
Boulder, CO 80302-3826

Mailing address

PO Box 10417
Holyoke, MA 01041-2017
Phone (720) 710-0500

Other names 1

  • AFC Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190205002968 CO Part B Supplier - Clinic/Group Practice 5092053751 Receives reassigned benefits from 49 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boulder, CO; Longmont, CO; Louisville, CO

National Provider Directory

National Provider Directory
Tax ID family
Afc Urgent Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2795 Pearl St
Boulder, CO 80302

Ownership & related parties

Other NPIs on the same Medicare enrollment 3

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

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

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
06D2201784Quality Urgent Care, PC2795 Pearl St, Unit 106, Boulder, CO 80302ComplianceJul 31, 2026

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1417550591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10417",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010412017",
            "telephone_number": "720-710-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 PEARL ST STE 106",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803023826",
            "telephone_number": "720-961-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY URGENT CARE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "AMACKER",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "901-896-4046"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFC Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.