Active NPI
Immediate Care, LLC
- Rural Health Clinic/Center
- Bristol, VA
National Provider Identifier
1649209396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 493860
- Legal business name
- IMMEDIATE CARE, LLC
- Practice address
- 1315 Euclid Ave
Suite E17
Bristol, VA 24201-3834 - Phone
- (276) 669-8707
- Fax
- (276) 669-9312
- NPI assigned
- Jul 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John T Williams
- Title
- Managing Member
- Phone
- (423) 578-4379
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 493860 | VA | Primary |
Addresses
Primary practice location
1315 Euclid Ave
Suite E17
Bristol, VA 24201-3834
Mailing address
135 W Ravine Rd
Suite 3B
Kingsport, TN 37660-3847
Phone (423) 578-4379
Other names 1
- Med Express
National Provider Directory
National Provider DirectoryLocations
135 W Ravine Rd
Ste 3-B
Kingsport, TN 37660
Phone (423) 378-4379
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Bristol, VA
- NPI 1356374284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186444800000",
"number": "1649209396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 W RAVINE RD",
"address_2": "SUITE 3B",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603847",
"telephone_number": "423-578-4379",
"fax_number": "423-578-4369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 EUCLID AVE",
"address_2": "SUITE E17",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242013834",
"telephone_number": "276-669-8707",
"fax_number": "276-669-9312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMMEDIATE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2007-08-07",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "423-578-4379"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "VA",
"license": "493860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Med Express",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bristol, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.