NPIMap

Organization Active NPI

Emergency Physicians Immediate Care Center 1 PLLC

  • Urgent Care Clinic/Center
  • Midlothian, VA
National Provider Identifier
1598020679
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
EMERGENCY PHYSICIANS IMMEDIATE CARE CENTER 1 PLLC
Practice address
6100 Harbourside Center Loop
Midlothian, VA 23112-2170
Phone
(804) 639-7555
Fax
(804) 739-4343
NPI assigned
Jul 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Tina Jeannette Lester
Title
Billing Director
Phone
(804) 377-9111

Specialties & licenses 1

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

Addresses

Primary practice location

6100 Harbourside Center Loop
Midlothian, VA 23112-2170

Mailing address

6100 Harbourside Center Loop
Midlothian, VA 23112-2170
Phone (804) 639-7555

Other practice location 1

4901 Plank Rd
Fredericksburg, VA 22407-6625
Phone (540) 870-6540

Other practice location 2

1380 N Parham Rd
Richmond, VA 23229-5742
Phone (804) 821-0010

Other practice location 3

12214 W Broad St
Henrico, VA 23233-1062
Phone (804) 362-8345

National Provider Directory

National Provider Directory

Locations

300 N Washington Hwy
Ashland, VA 23005
Phone (804) 537-2905

4901 Plank Rd
Fredericksburg, VA 22407
Phone (540) 870-6540

12214 W Broad St
Henrico, VA 23233
Phone (804) 362-8345

4600 Puddledock Rd
Prince George, VA 23875
Phone (804) 639-7555

Practitioners & affiliated clinicians

Practitioners 8

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": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1598020679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 HARBOURSIDE CENTER LOOP",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122170",
            "telephone_number": "804-639-7555",
            "fax_number": "804-739-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HARBOURSIDE CENTER LOOP",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122170",
            "telephone_number": "804-639-7555",
            "fax_number": "804-739-4343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4901 Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224076625",
            "country_code": "US",
            "telephone_number": "540-870-6540",
            "fax_number": "540-870-6541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1380 N Parham Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232295742",
            "country_code": "US",
            "telephone_number": "804-821-0010",
            "fax_number": "804-821-0011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12214 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232331062",
            "country_code": "US",
            "telephone_number": "804-362-8345",
            "fax_number": "804-362-8346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMERGENCY PHYSICIANS IMMEDIATE CARE CENTER 1 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "JEANNETTE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "804-377-9111"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.