NPIMap

Organization Active NPI

Medcare Express - North Charleston LLC

  • Urgent Care Clinic/Center
  • Charleston, SC
National Provider Identifier
1457579617
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDCARE EXPRESS - NORTH CHARLESTON LLC
Practice address
1850 Sam Rittenberg Blvd
Suite B
Charleston, SC 29407-4936
Phone
(843) 793-6093
Fax
(843) 576-5244
NPI assigned
Apr 23, 2007
Organization subpart
Yes
Parent organization
MEDCARE EXPRESS - NORTH CHARLESTON LLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
David Maloney
Title
Ceo
Phone
(616) 656-2750

Other NPIs on the same Medicare enrollment 1

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

Practitioners 168

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

View all 168

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20070523000200 SC Part B Supplier - Clinic/Group Practice 7618074899 Receives reassigned benefits from 168 practitioners
1 other NPI on this enrollment
Practice locations: West Columbia, SC; Summerville, SC; Spartanburg, SC; Pawleys Island, SC; North Myrtle Beach, SC; North Charleston, SC; Mt Pleasant, SC; Columbia, SC…

National Provider Directory

National Provider Directory
Part of
Medcare Express - North Charleston LLC

Locations

810 N Fant St
Anderson, SC 29621

1850 Sam Rittenberg Blvd
Ste C1
Charleston, SC 29407

1850 Sam Rittenberg Blvd
Ste A
Charleston, SC 29407

10173 Two Notch Rd
Columbia, SC 29229

6120 White Horse Rd
Greenville, SC 29611
Phone (864) 315-1915

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

5401 Netherby Ln
Ste 1201
North Charleston, SC 29420

8720 Dorchester Rd
#1201
North Charleston, SC 29420

8720 Dorchester Rd
Ste 1201
North Charleston, SC 29420
Phone (843) 552-3629

3916 Hwy 17 S
North Myrtle Beach, SC 29582

301 E Wood St
Spartanburg, SC 29303
Phone (843) 576-5246

110 Medical Cir
#4
West Columbia, SC 29169

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

1850 Sam Rittenberg Blvd
Suite B
Charleston, SC 29407-4936

Mailing address

216 Centerview Dr Ste 100
Brentwood, TN 37027-3226
Phone (615) 656-2750

Other names 1

NPPES NPI Registry
  • MEDCARE URGENT CARE Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 16, 2024.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1457579617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CENTERVIEW DR STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273226",
            "telephone_number": "615-656-2750",
            "fax_number": "616-656-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SAM RITTENBERG BLVD",
            "address_2": "SUITE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074936",
            "telephone_number": "843-793-6093",
            "fax_number": "843-576-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE EXPRESS - NORTH CHARLESTON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDCARE EXPRESS - NORTH CHARLESTON LLC",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-656-2750"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDCARE URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.