Organization Active NPI

Medex Medical Express of Palatka LLC

  • Urgent Care Clinic/Center
  • Palatka, FL
National Provider Identifier
1447464508
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDEX MEDICAL EXPRESS OF PALATKA LLC
Practice address
6500 Crill Ave
Palatka, FL 32177-6807
Phone
(386) 326-0575
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Lynn H. Dennis
Title
Office Manager
Phone
(386) 328-0575

Specialties & licenses 1

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

Addresses

Primary practice location

6500 Crill Ave
Palatka, FL 32177-6807

Mailing address

PO Box 66
Palatka, FL 32178-0066
Phone (386) 326-0575

Other names 1

  • MedEx Medical Express Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1447464508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321780066",
            "telephone_number": "386-326-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 CRILL AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776807",
            "telephone_number": "386-326-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEX MEDICAL EXPRESS OF PALATKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-328-0575"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedEx Medical Express",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.