Clinton Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CLINTON URGENT CARE LLC

Practice address

1004 Beaman St
Clinton, NC 28328-2329

Phone

(910) 592-9113

Fax

(910) 590-0050

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Shelley Jenssen, MD

Title

Medical Director

Phone

(910) 592-9113

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Kamran Goudarzi, M.D.

  • Surgery Physician
  • Wilmington, NC
  • NPI 1972562593
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1598877540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282329",
            "telephone_number": "910-592-9113",
            "fax_number": "910-590-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282329",
            "telephone_number": "910-592-9113",
            "fax_number": "910-590-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "JENSSEN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "910-592-9113",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790106F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clinton Medical Clinic, Inc.
• Clinton Operating Al, LLC
• Clinton Pharmacy LLC
• Clinton Surgical Associates PLLC
• Clinton Surgical PLLC
• Clinton X-Ray Associates, PA
• Heather Michelle Clougherty, ATC
• CMC Geriatric Services
• Alexis Marie Coleman
• Community Home Care of Robeson County, LLC

• Urgent Care Clinic/Center in Clinton, NC
• Providers in Clinton, NC by specialty
• Urgent Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.