NPIMap

Organization Active NPI

Advanced Urgent Care PC

  • Urgent Care Clinic/Center
  • State College, PA
National Provider Identifier
1609187905
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ADVANCED URGENT CARE PC
Practice address
2615 E College Ave
State College, PA 16801-7512
Phone
(814) 308-8155
Fax
(814) 308-8584
NPI assigned
Jul 1, 2010
Last updated
May 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Deborah Vullings
Title
Office Manager
Phone
(610) 927-5921

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

2615 E College Ave
State College, PA 16801-7512

Mailing address

PO Box 957
Scranton, PA 18501-0957
Phone (814) 308-8155

National Provider Directory

National Provider Directory

Locations

2615 E College Ave
State College, PA 16801
Phone (814) 308-8155

Practitioners & affiliated clinicians

Practitioners 3

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": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1609187905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185010957",
            "telephone_number": "814-308-8155",
            "fax_number": "814-308-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E COLLEGE AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017512",
            "telephone_number": "814-308-8155",
            "fax_number": "814-308-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "VULLINGS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-927-5921"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.