NPIMap

Rural Urgent Care LLC

Organization Active NPI Rural Health Clinic/Center · Brewton, AL

NPI 1689460412 · NPPES record last updated Mar 19, 2026

Key facts

NPI
1689460412
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
RURAL URGENT CARE LLC
Practice address
2134 Douglas Ave
Brewton, AL 36426-1155
Phone
(251) 236-4026
NPI assigned
Apr 17, 2025
Organization subpart
No

Authorized official

Name
Krista Rock
Title
VP
Phone
(205) 545-5090

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 33

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

View all 33

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 171

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 171

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL

Rural health clinic certification: CCN 018992

Legal name
RURAL URGENT CARE LLC
Doing business as
MAINSTREET FAMILY CARE - BREWTON
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 13, 2025
Last certification
Nov 13, 2025
Ownership / control type
1B
Organization structure
LLC · Proprietary
Enrollment address
2134 Douglas Ave
Brewton, AL 36426-1155

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Samuel Esklidsen
Individual 		5% Or Greater Indirect Ownership Interest
Ceo		 Sep 1, 2015 19.28%
Corporate Officer
Ceo		 Jun 27, 2025
Corporate Director
Ceo		 Jun 27, 2025
W-2 Managing Employee
Ad;		 Jun 27, 2025
Mainstreet Urgent Care Holdings
Organization · Dallas, TX
Created for acquisition, LLC, Owned by another organization or individual 		5% Or Greater Direct Ownership Interest Sep 1, 2015 100%

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mainstreet Family Care - Forest City
Forest City, NC · CCN 343809		 Rural health clinic Operational/Managerial Control (100%) Apr 15, 2021
Mainstreet Family Care - Oxford
Oxford, NC · CCN 343814		 Rural health clinic Operational/Managerial Control (100%) Apr 15, 2021
Mainstreet Family Care - Liberty
Liberty, NC · CCN 343899		 Rural health clinic Operational/Managerial Control (100%) Apr 15, 2021
Mainstreet Family Care - Tarboro
Tarboro, NC · CCN 343819		 Rural health clinic Operational/Managerial Control (100%) Apr 15, 2021

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250820001661 AL Part a Provider - Rural Health Clinic 8820305600 Practice locations: Brewton, AL

National Provider Directory

Tax ID family
Rural Urgent Care LLC (34 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

2134 Douglas Ave
Brewton, AL 36426-1155

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866
Phone (205) 545-5085

Other names

  • MainStreet Family Care Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 19, 2026.

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1689460412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N UNIT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031866",
            "telephone_number": "205-545-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 DOUGLAS AVE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261155",
            "telephone_number": "251-236-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "205-545-5090"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MainStreet Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brewton, AL

All providers in Brewton, AL · Rural Health Clinic/Center in Alabama

Sources for this page

Verify at the official NPI Registry.