Organization Active NPI

Urgentchoice Care LLC

  • Urgent Care Clinic/Center
  • Kokomo, IN
National Provider Identifier
1508636945
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
URGENTCHOICE CARE LLC
Practice address
2004 W Sycamore St
Kokomo, IN 46901-4112
Phone
(765) 865-0135
Fax
(765) 224-0806
NPI assigned
Jan 8, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Renee Marie GoodrichNPI 1124750815
Title
Owner
Phone
(765) 865-0135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 5

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

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
15D2299886Urgentchoice Care2004 W Sycamore Street, Kokomo, IN 46901Certificate of waiverFeb 28, 2028
15D2340534Urgentchoice Care LLC504 Colonial CT, Plymouth, IN 46563Certificate of waiverMar 17, 2028

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20240322000336 IN Part B Supplier - Clinic/Group Practice 7113364423 Receives reassigned benefits from 5 practitioners
Practice locations: Kokomo, IN

National Provider Directory

National Provider Directory

Locations

2004 W Sycamore St
Kokomo, IN 46901
Phone (574) 780-0102

2240 E Markland Ave
Kokomo, IN 46901

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X

Addresses

NPPES NPI Registry

Primary practice location

2004 W Sycamore St
Kokomo, IN 46901-4112

Mailing address

2004 W Sycamore St
Kokomo, IN 46901-4112
Phone (765) 865-0135

Other practice location 1

504 Colonial Ct
Plymouth, IN 46563-1860
Phone (765) 865-0135

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 19, 2026.

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1508636945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 W SYCAMORE ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014112",
            "telephone_number": "765-865-0135",
            "fax_number": "765-224-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 W SYCAMORE ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014112",
            "telephone_number": "765-865-0135",
            "fax_number": "765-224-0806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Colonial Ct",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "IN",
            "postal_code": "465631860",
            "country_code": "US",
            "telephone_number": "765-865-0135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "URGENTCHOICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "GOODRICH",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-865-0135"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.