Organization Active NPI

Rapidcare Urgent Care PLLC

  • Family Medicine Physician
  • Moorhead, MN
National Provider Identifier
1558550442
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41391 Issued in MN
Legal business name
RAPIDCARE URGENT CARE PLLC
Practice address
720 Main Ave
Moorhead, MN 56560-2752
Phone
(701) 232-6221
Fax
(218) 359-0096
NPI assigned
Oct 17, 2007
Organization subpart
Yes
Parent organization
RAPIDCARE URGENT CAREPLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Abigail V Lewis
Title
Clinic Manager
Phone
(701) 232-6211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 41391 MN Primary

Addresses

Primary practice location

720 Main Ave
Moorhead, MN 56560-2752

Mailing address

1517 32ND Ave S
Fargo, ND 58103-5905
Phone (701) 232-6211

Other identifiers 1

IdentifierTypeStateIssuer
510066600MedicaidMN

National Provider Directory

National Provider Directory
Part of
Rapidcare

Locations

1101 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 738-0095

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1558550442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 32ND AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035905",
            "telephone_number": "701-232-6211",
            "fax_number": "701-364-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MAIN AVE",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602752",
            "telephone_number": "701-232-6221",
            "fax_number": "218-359-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPIDCARE URGENT CARE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAPIDCARE URGENT CAREPLLC",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "701-232-6211"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "41391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510066600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.