NPIMap

Organization Active NPI

Medcare Express - North Charleston LLC

Doing business as Medcare Urgent Care

  • 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
Doing business as
Medcare Urgent Care
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
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDCARE EXPRESS - NORTH CHARLESTON LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

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

Specialties & licenses 1

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

Addresses

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

  • MEDCARE URGENT CARE Doing business as

Medicare participation

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

Enrollment records 1

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…

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Medcare Express - North Charleston LLC

Locations

801 N Fant St
Anderson, SC 29621
Phone (864) 261-8000

810 N Fant St
Anderson, SC 29621

1850 Sam Rittenberg Blvd
Ste A
Charleston, SC 29407

1850 Sam Rittenberg Blvd
Ste C1
Charleston, SC 29407

10136 Two Notch Rd
Ste 104
Columbia, SC 29229
Phone (803) 509-7570

10173 Two Notch Rd
Columbia, SC 29229

5401 Netherby Ln
Ste 1201
North Charleston, SC 29420

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

8720 Dorchester Rd
#1201
North Charleston, SC 29420

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

3816 Highway 17 S
North Myrtle Beach, SC 29582
Phone (843) 272-1411

3916 Hwy 17 S
North Myrtle Beach, SC 29582

110 E Medical Ln
West Columbia, SC 29169
Phone (803) 791-2199

110 Medical Cir
#4
West Columbia, SC 29169

110 Medical Cir
Ste A
West Columbia, SC 29169

Practitioners & affiliated clinicians

Practitioners 168

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.

View all 168

NPI Registry JSON

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

{
    "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.