NPIMap

Organization Active NPI

CRH MD Management, LLC

Doing business as Patriot Urgent Care

  • Urgent Care Clinic/Center
  • California, MD
National Provider Identifier
1679398135
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CRH MD MANAGEMENT, LLC
Doing business as
Patriot Urgent Care
Practice address
45325 Abell House LN
California, MD 20619-3211
Phone
(301) 862-1807
NPI assigned
Nov 20, 2024
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Shandi Faulk
Title
VP of Billing Operations
Phone
(678) 679-6471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

45325 Abell House LN
California, MD 20619-3211

Mailing address

590 Lanier Ave W
Fayetteville, GA 30214-1504
Phone (678) 688-9685

Other names 1

  • Patriot Urgent Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2315619CRH Management, LLC Dba Patriot Urgent Care - Cal45325 Abell House Lane, California, MD 20619Certificate of waiverDec 16, 2026

National Provider Directory

National Provider Directory
Tax ID family
CRH MD Management LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1679398135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 LANIER AVE W",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141504",
            "telephone_number": "678-688-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45325 ABELL HOUSE LN",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206193211",
            "telephone_number": "301-862-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRH MD MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "FAULK",
        "authorized_official_first_name": "SHANDI",
        "authorized_official_title_or_position": "VP OF BILLING OPERATIONS",
        "authorized_official_telephone_number": "678-679-6471"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patriot Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in California, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.