NPIMap

Organization Active NPI

Tenet Unifour Urgent Care Center LLC

Doing business as FryeCare Urgent Care - Conover

  • Urgent Care Clinic/Center
  • Conover, NC
National Provider Identifier
1528055621
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TENET UNIFOUR URGENT CARE CENTER LLC
Doing business as
FryeCare Urgent Care - Conover
Practice address
1105 Fairgrove Church Rd SE
Conover, NC 28613-9090
Phone
(828) 267-0551
Fax
(828) 267-0351
NPI assigned
Oct 4, 2005
Last updated
Jul 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Mr. Michael Kyle Burtnett
Title
SVP of Outpatient Services, Tenet
Phone
(469) 893-2153

Specialties & licenses 1

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

Addresses

Primary practice location

1105 Fairgrove Church Rd SE
Conover, NC 28613-9090

Mailing address

P.O. Box 741330
Atlanta, GA 30384-1330
Phone (828) 267-0551

Other identifiers 3

IdentifierTypeStateIssuer
CG6339OtherRAILROAD MEDICARE
01766OtherNCBCBS
89011F3MedicaidNC

Other names 1

  • FryeCare Urgent Care - Conover Doing business as

National Provider Directory

National Provider Directory

Locations

1105 Fairgrove Church Rd SE
Conover, NC 28613
Phone (828) 267-0551

Practitioners & affiliated clinicians

Practitioners 5

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": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1528055621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 741330",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841330",
            "telephone_number": "828-267-0551",
            "fax_number": "828-267-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 FAIRGROVE CHURCH RD SE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139090",
            "telephone_number": "828-267-0551",
            "fax_number": "828-267-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENET UNIFOUR URGENT CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "BURTNETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "SVP OF OUTPATIENT SERVICES, TENET",
        "authorized_official_telephone_number": "469-893-2153",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG6339",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01766",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011F3",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FryeCare Urgent Care - Conover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.