Wood River Urgent Care and Walk in Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WOOD RIVER URGENT CARE AND WALK IN CLINIC INC

Practice address

211 Madison Ave
Wood River, IL 62095-2009

Phone

(313) 948-3055

NPI assigned

Dec 17, 2021

Last updated

Feb 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Molnar

Title

Business Operations Manager

Phone

(313) 948-3055

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 47

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.

• Jennine Beckmann, NP

  • Family Nurse Practitioner
  • Swansea, IL
  • NPI 1649932559
  Medicare reassignment NPD
• Julie Ann Benhoff, F.N.P.

  • Nurse Practitioner
  • Alton, IL
  • NPI 1902130941
  Medicare reassignment NPD
• Jacqueline Ann Bode, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Champaign, IL
  • NPI 1245572213
  Medicare reassignment NPD
• Amanda Anne Breeding, FNP-C

  • Family Nurse Practitioner
  • Belleville, IL
  • NPI 1679437305
  Medicare reassignment NPD
• Karley Sue Christopher, FNP

  • Nurse Practitioner
  • Alton, IL
  • NPI 1881321651
  Medicare reassignment NPD
• Jenna Marie Churnock, DNP, FNP-C

  • Family Nurse Practitioner
  • Belleville, IL
  • NPI 1285917492
  Medicare reassignment NPD
• Kayla Craig, FNP-BC

  • Nurse Practitioner
  • Bethalto, IL
  • NPI 1457977274
  Medicare reassignment NPD
• Robin Marion Gunter

  • Family Nurse Practitioner
  • New Athens, IL
  • NPI 1578199980
  Medicare reassignment NPD
• Tiffany Hosp, NP

  • Nurse Practitioner
  • Mascoutah, IL
  • NPI 1356037592
  Medicare reassignment NPD
• Alishia Jacks

  • Family Nurse Practitioner
  • Highland Park, IL
  • NPI 1851179675
  Medicare reassignment NPD
• Emily Catherine Klein, FNP

  • Nurse Practitioner
  • Belleville, IL
  • NPI 1740934629
  Medicare reassignment NPD
• Erin Kayla Lewis, FNP-C

  • Nurse Practitioner
  • Waterloo, IL
  • NPI 1568357218
  Medicare reassignment NPD

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1427717438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14671 TELEGRAPH RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393300",
            "telephone_number": "313-948-3055",
            "fax_number": "313-948-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MADISON AVE",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620952009",
            "telephone_number": "313-948-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD RIVER URGENT CARE AND WALK IN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "MOLNAR",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS MANAGER",
        "authorized_official_telephone_number": "313-948-3055"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wood River Dental Group LLC
• Wood River Hartford SCH Dist 15
• Wood River Healthcare & Rehabilitation Center LLC (Integrity Healthcare of Wood River)
• Wood River NH LLC (Foxes Grove Supporting Living)
• Wood River Retirement Center, Inc (Foxes Grove Supportive Living Community)
• Nickole Woods
• Woodward - CJS Pharmacy, Inc. (The Medicine Shoppe)
• Woodward CJS Pharmacy Inc (Long Term Care Only the Medicine Shoppe #62)
• Jill Woodward, PHARMD
• Brandon Yeager, DMD

• Family Medicine Physician in Wood River, IL
• Providers in Wood River, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.