Organization Active NPI

Tallassee Urgent Care LLC

  • Urgent Care Clinic/Center
  • Tallassee, AL
National Provider Identifier
1508312737
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TALLASSEE URGENT CARE LLC
Practice address
2256 Gilmer Ave
Tallassee, AL 36078-7126
Phone
(334) 514-3848
NPI assigned
Aug 28, 2016
Last updated
Feb 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Michael Bruce
Title
Ceo
Phone
(256) 675-0412

Specialties & licenses 1

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

Addresses

Primary practice location

2256 Gilmer Ave
Tallassee, AL 36078-7126

Mailing address

2256 Gilmer Ave
Tallassee, AL 36078-7126
Phone (334) 283-2542

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1508312737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 GILMER AVE",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360787126",
            "telephone_number": "334-283-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 GILMER AVE",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360787126",
            "telephone_number": "334-514-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLASSEE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-675-0412"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallassee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.