NPIMap

Organization Active NPI

SCRN LLC

Doing business as Family Urgent Care

  • Urgent Care Clinic/Center
  • Monroe, NC
National Provider Identifier
1487181897
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SCRN LLC
Doing business as
Family Urgent Care
Practice address
3007 Wesley Chapel Stouts Rd
Suite B
Monroe, NC 28110-7941
Phone
(704) 412-3612
Fax
(704) 412-3614
NPI assigned
May 16, 2017
Last updated
Sep 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
Dr. Richard ArrivielloNPI 1467491795
Title
Owner
Phone
(630) 650-9888

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

3007 Wesley Chapel Stouts Rd
Suite B
Monroe, NC 28110-7941

Mailing address

149 Welton Way
Mooresville, NC 28117-9163

Other names 1

  • Family Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180427000950 NC Part B Supplier - Clinic/Group Practice 1254695265 Receives reassigned benefits from 15 practitioners
Practice locations: Monroe, NC

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
34D2135807Family Urgent Care3007 Wesley Chapel Stouts Road, Monroe, NC 28110Certificate of waiverAug 28, 2027

National Provider Directory

National Provider Directory

Locations

3007 Wesley Chapel Stouts Rd
Monroe, NC 28110
Phone (704) 412-3612

3007 Wesley Chapel Stouts Rd
Ste B
Monroe, NC 28110
Phone (704) 412-3612

149 Welton Way
Mooresville, NC 28117

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1487181897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 WELTON WAY",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 WESLEY CHAPEL STOUTS RD",
            "address_2": "SUITE B",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107941",
            "telephone_number": "704-412-3612",
            "fax_number": "704-412-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "ARRIVIELLO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-650-9888",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.