NPIMap

Organization Active NPI

Sunbury Primary Care, P.a.

Doing business as Sunbury Walk in Care

  • Urgent Care Clinic/Center
  • Bangor, ME
National Provider Identifier
1487906541
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SUNBURY PRIMARY CARE, P.A.
Doing business as
Sunbury Walk in Care
Practice address
133 Corporate Dr
Suite 4
Bangor, ME 04401-4312
Phone
(207) 992-0088
Fax
(207) 992-9289
NPI assigned
Oct 12, 2012
Last updated
Oct 12, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
SUNBURY PRIMARY CARE, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
David L Savell
Title
Chief Executive Officer
Phone
(207) 942-7650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

133 Corporate Dr
Suite 4
Bangor, ME 04401-4312

Mailing address

PO Box 921
Bangor, ME 04402-0921
Phone (207) 942-7650

Other names 1

  • Sunbury Walk in Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunbury Primary Care PA11 organizations share this tax ID, including this one
Part of
Sunbury Primary Care PA

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

133 Corporate Dr
Ste 4
Bangor, ME 04401
Phone (207) 992-0088

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1487906541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 921",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044020921",
            "telephone_number": "207-942-7650",
            "fax_number": "207-990-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 CORPORATE DR",
            "address_2": "SUITE 4",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014312",
            "telephone_number": "207-992-0088",
            "fax_number": "207-992-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBURY PRIMARY CARE, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNBURY PRIMARY CARE, P.A.",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "SAVELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "207-942-7650"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunbury Walk in Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.