Organization Active NPI

Tri State Urgent Care LLC

  • Emergency Care Clinic/Center
  • Cold Spring, KY
National Provider Identifier
1649454034
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
TRI STATE URGENT CARE LLC
Practice address
3699 Alexandria PK
Cold Spring, KY 41076
Phone
(859) 442-8444
Fax
(859) 442-8777
NPI assigned
Dec 21, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Thoraya Hassan
Title
Manander
Phone
(513) 531-1555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X KY Primary
Acute Care Clinical Nurse Specialist 364SA2100X

Addresses

Primary practice location

3699 Alexandria PK
Cold Spring, KY 41076

Mailing address

3699 Alexandria PK
Cold Spring Urgent Care
Cold Spring, KY 41076
Phone (859) 442-8444

Other identifiers 2

IdentifierTypeStateIssuer
2572130MedicaidOH
65942864MedicaidKY

National Provider Directory

National Provider Directory

Locations

1253 Kemper Meadow Dr
Ste 250
Cincinnati, OH 45240
Phone (513) 825-0956

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649454034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 ALEXANDRIA PK",
            "address_2": "COLD SPRING URGENT CARE",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "41076",
            "telephone_number": "859-442-8444",
            "fax_number": "859-442-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 ALEXANDRIA PK",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "41076",
            "telephone_number": "859-442-8444",
            "fax_number": "859-442-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "THORAYA",
        "authorized_official_title_or_position": "MANANDER",
        "authorized_official_telephone_number": "513-531-1555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2572130",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65942864",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cold Spring, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.