Organization Active NPI

Greeneville Urgent Care Center Inc

  • Clinic/Center
  • Greeneville, TN
National Provider Identifier
1669424685
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GREENEVILLE URGENT CARE CENTER INC
Practice address
1744 E Andrew Johnson Hwy
Greeneville, TN 37745-4278
Phone
(423) 636-8891
Fax
(423) 636-1732
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Mr. Carlyle Walton I
Title
Ceo
Phone
(423) 639-3151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1744 E Andrew Johnson Hwy
Greeneville, TN 37745-4278

Mailing address

1744 E Andrew Johnson Hwy
Greeneville, TN 37745-4278
Phone (423) 636-8891

Other identifiers 3

IdentifierTypeStateIssuer
CB8650OtherTNRAILROAD MEDICARE
TN0100OtherTNJOHN DEERE HEALTHCARE
3707476MedicaidTN

National Provider Directory

National Provider Directory

Locations

438 E Vann Rd
Ste 201
Greeneville, TN 37743
Phone (423) 278-1800

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1669424685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 E ANDREW JOHNSON HWY",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454278",
            "telephone_number": "423-636-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 E ANDREW JOHNSON HWY",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454278",
            "telephone_number": "423-636-8891",
            "fax_number": "423-636-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENEVILLE URGENT CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "CARLYLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-639-3151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB8650",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTHCARE",
            "identifier": "TN0100",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3707476",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.